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Biomedical subjects

C W Liebert

Publications and source records attributed to C W Liebert.

10 recordsLinked to original sources

An intrahepatic abscess as a rare complication of a pelvic fracture from blunt trauma to the abdomen.

An otherwise healthy young male sustained a non-displaced fracture of the pelvis in a blunt trauma from a motor vehicle accident. A fever developed on his second post injury day which led to discovery of an intrahepatic abscess by CAT scan. After blunt trauma to the abdomen, one must consider not only a retroperitoneal hematoma but also, subphrenic, subdiaphragmatic and intrahepatic abscess as its complication.

Abdominal Injuries

Hepatic abscess resulting from asymptomatic diverticulitis of the sigmoid colon.

I have described a case of pyogenic liver abscess secondary to completely asymptomatic diverticulitis. Because extensive diverticulitis may be present with minimal or no clinical symptoms, it should be strongly considered as the cause when dealing with a so-called "cryptogenic" liver abscess, and treatment should be planned accordingly.

Diverticulitis, Colonic

Primary resection without anastomosis for perforation of acute diverticulitis.

With perforation during acute diverticulitis, with or without abscess, the highest mortality occurs in patients in whom a transverse colostomy with drainage alone is done. This is no longer to be considered an acceptable method of management. The advantage of removal of the diseased intestine is paramount. Anastomosis under unfavorable conditions is avoided. The results in this group of severe, acutely ill patients with associated multiple systemic disease encouraged wider application of the Hartmann operation for the complex problems of inflammation of the diverticulum.

Abscess

Reconstructing colonic continuity after the Hartmann operation.

We present our experience in a series of 25 cases involving reconstruction of bowel continuity after the Hartmann operation for perforated diverticulitis. The term "colostomy closure" has been judiciously avoided because in no way are these procedures comparable. Careful timing and restraint are encouraged to allow adequate recovery from the initial disease process and resultant surgery. Some technical aids are mentioned which may assist in limiting morbidity and mortality.

Aged