Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The advent of advancements in imaging modalities such as Computed Tomography (CT) scans or Ultrasonography (USG) has significantly influenced the management of liver abscesses, resulting in a notable reduction in morbidity and mortality. Liver abscesses are more prevalent in developing nations, including India. This study aims to assess various treatment approaches, enabling the selection of an appropriate modality based on clinicomicrobiological findings. This prospective study encompassed 78 confirmed cases of liver abscesses, both amoebic and pyogenic, treated at a tertiary care centre. A predefined protocol guided the management of all diagnosed patients, considering parameters such as age, gender, associated conditions and clinical features. Prognosis assessment involved laboratory investigations and radiological findings, facilitating the selection of an appropriate treatment modality. Amoebic liver abscesses were more prevalent than pyogenic ones. Males exhibited a higher incidence of liver abscesses compared to females. The aetiology of liver abscesses showed a strong association with a history of alcohol consumption. Abdominal pain emerged as the predominant symptom in these cases. Conservative management proves effective for minor abscesses. However, for larger abscesses and those situated in the left lobe a combined approach involving medical management and intervention, particularly catheter drainage, yields notably high cure rates. Surgical intervention is reserved for cases presenting complications such as peritonitis. Laparotomy, entamoeba histolytica, percutaneous catheter drainage, percutaneous needle aspiration.
How to cite this article:
Jekee Baldevbhai Patel, Shaileshkumar S. Parmar, Nautamkumar K. Pranami and Jigneshkumar Dineshbhai Damor. Management of Liver Abscess Patients in a Tertiary Care Teaching Hospital.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.77.81
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.77.81