Prospective study of clinical profile and various modalities of treatment in management of liver abscess

Abstract

Background: Hippocrates described about liver abscess in 460-377 B.C. Liver abscess is term for a collection of purulent material in liver parenchyma, which is due to bacterial, fungal, parasitic or mixed infection.Aims and Objectives: To study the clinical profile of patients of liver abscess, causative factors, various treatment modalities and morbidity, mortality, prognosis associated with liver abscess.Material and Methods: Prospective Observational Study conducted in Department of General Surgery, Dr. V M G M C, and Solapur from Sep 2016 to Aug 2018. The sample size was 50 liver abscess cases. Results and Observations: In total, of 50 patients, according to age showed that maximum 36% of patients were from age group 21-30 years with male involvement was 72%. Maximum patients presented with fever with chills 68%. Alcoholic is the risk factor which constitute 68% with amoebic liver abscess is more common. Right lobe of liver involve more than left lobe. Percutaneous Aspiration + Antibiotics was most used treatment modality 36%. Conclusion: Young male with age group 21-30 year more commonly affected. Fever with chills presented by most number of liver abscess, chronic Alcohol intake is a definitive risk factor, percutaneous needle aspiration + Antibiotics is preferred in patients with single abscess of size >5 cm situated in superficial segments.