{"id":4098,"date":"2023-04-04T16:42:50","date_gmt":"2023-04-04T14:42:50","guid":{"rendered":"http:\/\/berlin-boehm.de\/Kanty\/?p=4098"},"modified":"2023-04-04T16:42:51","modified_gmt":"2023-04-04T14:42:51","slug":"leberabszesse","status":"publish","type":"post","link":"http:\/\/berlin-boehm.de\/Kanty\/archive\/4098","title":{"rendered":"Leberabszesse"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_one_full-7acc1372e522d1472d3487e02738ae1c\">\n.flex_column.av-av_one_full-7acc1372e522d1472d3487e02738ae1c{\nbackground-color:#22689e;\n}\n<\/style>\n<div  class='flex_column av-av_one_full-7acc1372e522d1472d3487e02738ae1c av_one_full  avia-builder-el-0  el_before_av_hr  avia-builder-el-first  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lg2dddgs-edc4d026a00613af53be4aaf8fe1a44e\">\n#top .av-special-heading.av-lg2dddgs-edc4d026a00613af53be4aaf8fe1a44e{\nmargin:20px 20px 20px 20px;\npadding-bottom:0;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-lg2dddgs-edc4d026a00613af53be4aaf8fe1a44e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-lg2dddgs-edc4d026a00613af53be4aaf8fe1a44e .av-special-heading-tag{\npadding:5px 5px 5px 5px;\n}\n.av-special-heading.av-lg2dddgs-edc4d026a00613af53be4aaf8fe1a44e .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-lg2dddgs-edc4d026a00613af53be4aaf8fe1a44e .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lg2dddgs-edc4d026a00613af53be4aaf8fe1a44e av-special-heading-h3 custom-color-heading blockquote classic-quote  avia-builder-el-1  avia-builder-el-no-sibling '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Leberabszesse<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div><div  class='hr av-av_hr-91d7ccd583a503147498e120fee2ff9b hr-default  avia-builder-el-2  el_after_av_one_full  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p>\n<section  class='av_textblock_section av-lg2ddmck-d9abf7f8c60f0c5f30824ceea83a43d3 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Prim\u00e4re Abszesse der Leber sind selten. Sekund\u00e4re Abszesse treten durch h\u00e4matogene oder chologene Besiedlung auf und k\u00f6nnen deshalb fast jedes Keimspektrum aufweisen.<\/p>\n<h4>Am\u00f6benabszess<\/h4>\n<p>In unseren Regionen sind Am\u00f6benabszesse durch Besiedlung mit Entamoeba histolytica selten. Die Parasiten lysieren das Lebergewebe, so dass sich sterile Kolliquationsnekrosen bilden. Spontane Heilungen sind durch diesen Zerst\u00f6rungsprozess m\u00f6glich. Die Prognose ist bei einem Am\u00f6benabszess unter einer ad\u00e4quaten Therapie g\u00fcnstig. Unbehandelt sterben bis zu 10 Prozent.<\/p>\n<h4>Klinik<\/h4>\n<p>Die meisten Patienten zeigen bei einem akuten Verlauf eines Leberabszesses alle Symptome eines schweren Infektes mit hohem Fieber und Sch\u00fcttelfrost. Der abdominelle Befund kann wie ein akutes Abdomen imponieren oder auch relativ unspezifisch sein. Bei einem eher chronischen Verlauf sind die Symptome insgesamt unspezifisch. Meistens klagen die Patienten \u00fcber subfebrile Temperaturen, Appetitlosigkeit und Gewichtsverlust.<\/p>\n<h4>Diagnostik<\/h4>\n<p>Die Abdomen\u00fcbersicht im Stehen ist nur in seltenen F\u00e4llen hinweisend, indem sich Pleuraerg\u00fcsse, ein Zwerchfellhochstand oder intrahepatische Fl\u00fcssigkeitsspiegel zeigen. Die Dom\u00e4ne liegt hier in der Sonographie und dem CT, weil beide auch interventionell zur Punktion oder Drainage therapeutisch genutzt werden k\u00f6nnen. Der Verdacht auf eine Am\u00f6benerkrankung sollte serologisch \u00fcberpr\u00fcft werden.<\/p>\n<h4>Operationsindikation<\/h4>\n<p>Eine Operationsindikation besteht nur dann, wenn die Abszesse durch interventionelle Verfahren nicht behandelt werden k\u00f6nnen.<\/p>\n<h4>Therapieoptionen<\/h4>\n<p>Bei einer Am\u00f6benerkrankung wird Metronidazol appliziert. Alle Abszesse werden prim\u00e4r antibiotisch behandelt, wobei gr\u00f6\u00dfere Abszesse punktiert bzw. drainiert werden.<\/p>\n<h4>Operation<\/h4>\n<p>Die einfache Abszessausr\u00e4umung und Drainage steht hier im Vordergrund. In ausgew\u00e4hlten F\u00e4llen kann die Resektion eines umschriebenen Bereiches notwendig werden.<\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[34],"tags":[],"class_list":["post-4098","post","type-post","status-publish","format-standard","hentry","category-chirurgie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Leberabszesse - Berliner Gelassenheit<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/berlin-boehm.de\/Kanty\/archive\/4098\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Leberabszesse - Berliner Gelassenheit\" \/>\n<meta property=\"og:url\" content=\"http:\/\/berlin-boehm.de\/Kanty\/archive\/4098\" \/>\n<meta property=\"og:site_name\" content=\"Berliner Gelassenheit\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-04T14:42:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-04T14:42:51+00:00\" \/>\n<meta name=\"author\" content=\"Bartholom\u00e4us B\u00f6hm\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bartholom\u00e4us B\u00f6hm\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"3\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4098#article\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4098\"},\"author\":{\"name\":\"Bartholom\u00e4us B\u00f6hm\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"headline\":\"Leberabszesse\",\"datePublished\":\"2023-04-04T14:42:50+00:00\",\"dateModified\":\"2023-04-04T14:42:51+00:00\",\"mainEntityOfPage\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4098\"},\"wordCount\":744,\"publisher\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"articleSection\":[\"Chirurgie\"],\"inLanguage\":\"de\"},{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4098\",\"url\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4098\",\"name\":\"Leberabszesse - Berliner Gelassenheit\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#website\"},\"datePublished\":\"2023-04-04T14:42:50+00:00\",\"dateModified\":\"2023-04-04T14:42:51+00:00\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4098#breadcrumb\"},\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4098\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4098#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Leberabszesse\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#website\",\"url\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/\",\"name\":\"Berliner Gelassenheit\",\"description\":\"Heiterkeit und Widerspr\u00fcche\",\"publisher\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"de\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\",\"name\":\"Bartholom\u00e4us B\u00f6hm\",\"logo\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/image\\\/\"},\"description\":\"Prof. Dr. med. 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