DOI: 10.25881/BPNMSC.2020.77.23.029

Authors

Solovev I.A.1, Surov D.A.1, Dymnikov D.A.1, Lychev A.B.1, Kabanova V.I.2, Vasilchenko M.V.1, Nujkin E.V.1, Sizonenko N.A.1

1 S.M. Kirov Military Medical Academy

2 Saint Petersburg Center for the Prevention and Control of AIDS and Infectious Diseases

Abstract

Despite the successes of modern surgery, cholangiogenic abscesses remain one of the most difficult complications in surgical hepatology. The traditionally used methods of surgical interventions are quite traumatic and often insufficiently adequate, especially with multiple abscesses, as well as with the development of sepsis [1–3]. The combination with minimally invasive techniques (in the form of interventions under the control of radiation navigation (ultrasound, X-ray), endoscopy and laparoscopy) can significantly improve the treatment results of this category of patients [4–5]. The most common cause of cholangiogenic abscesses is cicatricial stricture of the bile ducts and prolonged choledocholithiasis [2–3].

Some authors separately consider immunosuppression against the background of malignant neoplasms of the hepatopancreatoduodenal zone, HIV infection and other diseases as the cause of the formation of liver abscesses [1–3].

Keywords: cholelithiasis, choledocholithiasis, cholangiogenic abscesses of the liver, HIV infection.

References

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2. Dzidzava II, Kotiv BN, Apollonov AA, Alent’ev SA, Smorodskii AV, Slobodyanik AV, Soldatov SA, Kudryavtseva AV, Dmitrochenko IV, Samuilenko AV. Minimallyinvazive surgical techniques in the treatment of cholangiogenic liver abscesses. Zdorov’e. Meditsinskaya ekologiya. Nauka. 2017; 2(69): 22–27. (In Russ.). doi: 10.5281/zenodo.835786.

3. Ovchinnikov VA, Malov AA, Akulenko SV, Zakharov AG, Parakhonyak NV, Galanin IA. The modern technique in the treatment of bacterial abscesses of liver. Meditsinskii al’manakh .Khirurgiya. 2013; 5(28): 99–102. (In Russ.).

4. Lübbert C, Wiegand J, Karlas T. Therapy of Liver Abscesses. Viszeralmedizin. 2014; 30(5): 334–341. doi: 10.1159/000366579.

5. Liu Y, Wang JY, Jiang W. An Increasing Prominent Disease of Klebsiella pneumoniae Liver Abscess: Etiology, Diagnosis, and Treatment. Gastroenterol Res Pract. 2013; 2013:258514. doi: 10.1155/2013/258514.

For citation

Solovev I.A., Surov D.A., Dymnikov D.A., Lychev A.B., Kabanova V.I., Vasilchenko M.V., Nujkin E.V., Sizonenko N.A. Successful treatment of long-term choledocholithiasis complicated by the formation of multiple cholangiogenic liver abscesses on the background of HIV infection. Bulletin of Pirogov National Medical & Surgical Center. 2020;15(4):151-154. (In Russ.) https://doi.org/10.25881/BPNMSC.2020.77.23.029