RESUMO
BACKGROUND: amebic liver abscess is frequently seen in endemic regions, and has a poor prognosis when diagnosis and treatment are inappropriate. AIM: to evaluate and compare our own results; to propose a new classification and therapeutic algorithm. DESIGN: an observational and retrospective study. METHOD: medical records were reviewed for sex, age, signs and symptoms, images, laboratory tests, size, location, treatment, hospital stay, and morbidity-mortality. RESULTS: sixteen patients with amebic liver abscess had been treated -9 were males, mean age was 30.56 years, all abscesses were solitary, 14 were in the right hepatic lobe, average size was 63.25, and 10 were of the collected type according to N Gbesso s classification. Seven patients had a good response to medical treatment, 6 needed percutaneous drainage, and 3 required surgery. Morbidity was 12.5% and mortality 0%. Average hospital stay was 7.68 days. CONCLUSION: our results are similar to those in other published series. The addition of two new groups to N Gbesso s classification provides better therapeutic orientation. We believe that early percutaneous drainage for collected abscesses bigger than 5 cm may improve symptoms and shorten hospital stay.
Assuntos
Abscesso Hepático Amebiano/terapia , Adolescente , Adulto , Algoritmos , Criança , Pré-Escolar , Humanos , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de TempoAssuntos
Colo/transplante , Atresia Esofágica/cirurgia , Esofagoplastia/métodos , Estômago/cirurgia , Transplante Heterotópico/métodos , Anastomose Cirúrgica , Atresia Esofágica/classificação , Fístula Esofágica/etiologia , Fístula Esofágica/cirurgia , Esofagostomia , Feminino , Fístula Gástrica/etiologia , Fístula Gástrica/cirurgia , Gastrostomia , Rejeição de Enxerto , Humanos , Recém-Nascido , Necrose , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Reoperação , Suturas/efeitos adversosRESUMO
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if don't exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.
Assuntos
Hérnia Diafragmática Traumática/cirurgia , Idoso , Idoso de 80 Anos ou mais , Doença Crônica , Evolução Fatal , Feminino , Hérnia Diafragmática Traumática/diagnóstico por imagem , Hérnia Diafragmática Traumática/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Ferimentos não Penetrantes/complicaçõesAssuntos
Intestino Delgado , Prolapso Retal/etiologia , Idoso , Feminino , Humanos , Doenças Retais/complicações , Ruptura EspontâneaRESUMO
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if dont exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.(AU)
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Hérnia Diafragmática Traumática/cirurgia , Hérnia Diafragmática Traumática/diagnóstico , Hérnia Diafragmática Traumática/etiologia , Idoso de 80 Anos ou mais , Doença Crônica , Evolução Fatal , Ferimentos não Penetrantes/complicaçõesRESUMO
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if dont exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.
RESUMO
Diaphragmatic traumatic chronic hernias are infrequent. Diagnostic can be difficult if don't exist suspicion and treatment is always by surgery. The aim of this paper is to present three cases and makes an actualisation in basis to our experience and the literature.