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January 1968

Hepatic AbscessReview of Seven Patients Seen at Wilford Hall USAF Hospital, 1956-1966

Author Affiliations

Lackland Air Force Base, Tex
From General Surgery Service, Department of Surgery, Wilford Hall USAF Hospital, Aerospace Medical Division (AFSC), Lackland Air Force Base, Tex.

Arch Surg. 1968;96(1):20-24. doi:10.1001/archsurg.1968.01330190022005

CHANGING epidemiological patterns occasionally direct attention to uncommon diseases. Two patients recently returned from Southeast Asia required treatment for liver abscess at Wilford Hall USAF Hospital and caused us to review our experience with this condition. Since 1956, seven patients were treated for liver abscess and of these, six were admitted within the past two years. This paper will present our experience and correlate it with other reports.

Report of Cases 

Case 1.  —A 21-year-old man was hospitalized in 1956 with pain of the right upper quadrant, chills, fever, malaise, and 12.7-kg (28-lb) weight loss. After one week, he became asymptomatic and was discharged on his 25th hospital day without a diagnosis being made. Two years previously he had been hospitalized with a diagnosis of nonicteric hepatitis. Three months later he was again admitted with further weight loss, a temperature of 103 F (39.4 C), and right upper quadrant tenderness.

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