Abstract
OBJECTIVE: The purpose of the study was to find out the role of ultrasonography in management of amoebic liver abscess. In this area, the simplest method for diagnosis and to determine the effectiveness of treatment proved by disappearance of symptoms and regression in the size of abscess cavity. METHODS: We studied prospectively 48cases of suspected liver abscesses admitted to our institute over 3years (February 2011 to February 2014). Daily follow up of patients was carried out in hospital for at least 10days. Patients were later followed up by ultrasound after discharge. RESULTS: We found the clinical features of the disease similar to those mentioned in essential text books of medicine, except that pain is not always epigastric while fever may be absent and hepatomegaly is not marked. Ultrasound is a simple, cheap diagnostic test, which is available. Metronidazole is an effective treatment and five of the patients required invasive method for diagnosis or treatment. CONCLUSION: Amoebic liver abscess if untreated is a serious disease. We concluded that recognizing the disease clinically and proving it by ultrasound is the main method for diagnostic confirmation.
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