Necrosis of the gallbladder wall in its bed as a source of liver abscess

• Ivlev V.V.
• Gorokhov P.O.
• Rodionov S.A.
• Koshelev N.S.

Abstract

The formation of a liver abscess against the background of necrosis of the gallbladder wall in its bed cannot be called casuistry. However, when necrosis, with a persistent contact purulent process, passes into the scarring stage, and the bladderwall is restored, such an option should be considered impossible. The intraoperative picture in the clinical case presented in the article absolutely did not correspond to the results of instrumental studies. Not only the difficulties of intraoperative search are described, but also the difficulty of choosing operational tactics.

Keywords:cholangiogenic and post-traumatic liver abscess; necrosis of the gallbladder wall; drainage of liver abscess; destructive cholecystitis; pyogenic liver abscess

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