Henry Ford Hospital Medical Journal


Newer diagnostic techniques, including radioisotope liver scans, bacteriologic culture procedures for anaerobes, serologic tests for amebiasis, ultrasonic echograms, and hepatic arteriography, permit more specific identification and localization of hepatic abscesses. Large pyogenic abscesses are of particular Importance to surgeons; are frequently caused by anaerobic organisms; and require early, direct, adequate, and sufficiently prolonged surgical drainage. The clinician should be alert also to recognition and management of the primary lesion responsible for the hepatic abscess, associated abscesses elsewhere, and the possible presence of an underlying liver neoplasm.