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- W2530476797 abstract "espanolEl absceso hepatico primario gigante, es una entidad poco frecuente. El diagnostico suele retrasarse por que habitualmente no se sospecha. La fiebre y dolor abdominal son las manifestaciones clinicas mas frecuentes. Leucocitosis con desviacion izquierda, a nemia y PCR alta son las alteraciones analiticas mas frecuentes. El TAC de abdomen constituye la prueba de imagen de eleccion para el diagnostico. El drenaje percutaneo y el tratamiento antibiotico especifico, es suficiente y seguro en la mayoria de los pacientes. El drenaje quirurgico esta indicado ante el fracaso del tratamiento conservador. Presentamos el caso en un paciente varon de 72 anos de edad, que preciso tratamiento quirurgico tras el fallo del drenaje percutaneo. Discutimos los aspectos relacionados con la etiologia, cuadro clinico, diagnostico y abordaje terapeutico actual. EnglishGiant primary liver abscess is a rare entity. The diagnosis is often delayed because usually not suspected. Fever and abdominal pain are the most common clinical manifestations. Leukocytosis, high CRP and anemia are the most common laboratory abnormalities. Abdominal CT is the imaging test of choice for diagnosis. Percutaneous drainage and specific antibiotic treatment is sufficient and safe in most patients. Surgical drainage is indicated in cases of failure of conservative treatment. We present the case in a 72-year-old male patient, who required surgical treatment after failure of percutaneous drainage. We discuss aspects related to the etiology, cynical picture, diagnosis and current therapeutic approach." @default.
- W2530476797 created "2016-10-21" @default.
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- W2530476797 date "2016-01-01" @default.
- W2530476797 modified "2023-09-23" @default.
- W2530476797 title "Absceso hepático primario gigante: tratamiento actual" @default.
- W2530476797 hasPublicationYear "2016" @default.
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