1.5 liters of pus were drained to save a man with a liver abscess.

Báo Thanh niênBáo Thanh niên16/05/2023


On May 16, Dr. Nguyen Thanh Sang, Deputy Head of the Department of General Surgery, Xuyen A Tay Ninh General Hospital, said that after clinical examination and performing paraclinical tests such as blood tests, ultrasound and abdominal CT scan, the results showed that the right liver had a large pus-filled abscess measuring 126mm x 100mm x 198mm, the test results showed high infection index, reactive white blood cells.
Specialists performed an emergency consultation and the patient was diagnosed with a right liver abscess. The patient was quickly drained by the on-call team under ultrasound guidance. The team was able to drain nearly 1,500ml of foul-smelling pus from the abscess site.

The patient was then transferred to the General Surgery Department for monitoring and treatment according to the optimal regimen, using broad-spectrum antibiotics initially. The results of the culture of pus from the abscess showed that the patient was infected with ESBL bacteria, a type of E. coli bacteria that is resistant to many antibiotics. The patient's antibiotics were changed according to the cultured bacteria standard.

Hút 1,5 lít mũ cứu người đàn ông bị áp xe gan - Ảnh 1.

Pus suction to save liver abscess patient

After 7 days, the patient's health progressed positively, the clinical condition improved well and there was no more fever or pain. X-rays showed that the abscess had been completely drained and the patient was discharged from the hospital.

Dr. Nguyen Thanh Sang said that in the past, the department has treated many cases of liver abscess from mild to critical, and most of them were caused by bacteria, amoeba, etc. If liver abscess is detected early and treated early, it will improve positively. However, the danger is that many patients with critical liver abscesses have large abscesses but the symptoms are only mild fever, right hypochondriac pain, etc., leading to late detection and treatment. Liver abscesses can rupture, causing sepsis, pericardial effusion, pleural effusion, etc., threatening the patient's life.

"Liver abscesses are caused by infections, so it is necessary to prevent infection by eating cooked food and drinking boiled water, ensuring food hygiene and safety, washing hands with soap after using the toilet and before each meal. If you have any suspicious signs of liver abscess, quickly go to the hospital for examination and timely treatment," Dr. Sang advised.


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