Clinico-pathological study of liver abscesses with special reference to different treatment options
Keywords:Catheter drainage, Liver abscess, Ultrasonography
Background: Liver abscess is a serious life threatening condition if left untreated. Most of them were amoebic in nature in tropical countries. The present study was done with the aim to assess the epidemiology of liver abscesses, to determine the fast, accurate and cost effective diagnostic approaches and to find out the best mode of management for amoebic liver abscess (ALA) and pyogenic liver abscess (PLA) in the study population.
Methods: This was a prospective study done at KPC Medical College and Hospital for a period of 2 years, from June 2013 to May 2015. A total of 50 patients diagnosed with liver abscess were included in the study. Patients were categorized into ALA and PLA cases based on the type of abscess cavity. Authors have studied correlation of socio-demographic factors with disease, etiology, diagnostic findings, types of treatment and their outcome in the study population.
Results: ALA was the most common type among the study groups (90%). Male preponderance was seen. Majority of them belongs to low-socioeconomic status (80%). The most common etiology of PLA was E. coli. Ultrasonography (USG) of the abdomen was accurate and cost-effective diagnostic procedure for assessing liver abscesses. Percutaneous catheter drainage was the most effective method of treatment (with a 100% success rate) in both ALA and PLA cases.
Conclusions: Most of the patients in the study had ALA and had a chronological association with alcohol addiction, diabetes and low-socioeconomic status. Rapid diagnosis of the condition (ALA and PLA) with USG will reduce the rate of morbidity and mortality in the patients.
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