A STUDY OF TREATMENT MODALITIES IN THE MANAGEMENT OF LIVER ABSCESS: A SINGLE CENTRE OBSERVATIONAL STUDY

Abstract

Background: Liver abscess both amoebic & pyogenic to be an important cause of morbidity & mortality in tropical country.Treatment of liver abscess are medical management ,percutaneous needle aspiration ,percutaneous catheter drainage, surgical drainage. Liver abscess are space occupying lesion in liver. The aim of study is various treatment modalities of management of liver abscess. Mehods: This is an observationa study for presentation of liver abscess and its management done in the department of general surgery H.B.T.Medical college & Dr.R.N.Cooper Hospital,Mumbai over period of 1& half year.78 cases of liver abscess were studied.Complete clinical examination & investigation done..The associated morbidity & mortality of all patients were reviewed. Results: . In this study, 78patients (72 males and 6 females; age range, 18-72 years; average age, 45 years) with liver abscesses underwent either percutaneous needle aspiration,percutaneous catheter drainage,or surgical intervention along with appropriate antimicrobial therapy.Pyogenic liver abscess was more common than amoebic liver abscess Conclusions: In our experience of managing liver abscess,pyogenic liver abscess involving right lobe of the liver was common with the presentation of upper abdominal pain, high grade fever with chills and tender hepatomegaly. Ultrasound abdomen is very useful investigative tool in diagnosis and also in intervention and in the follow up of the condition and to evaluate progression or resolution Alcoholism becomes the most frequently associated risk factor.. Medical management is the mainstay of the therapy, with percutaneous drainage methods reserved for very large abscesses or those with complications.There has been drastically reduction in complications and mortality with modern antiamoebic drugs,and percutaneous interventions.Still laparotomy is occasionally required for generalised rupture or patient not responding to Percutaneous intervention methods