Outcome of rupture liver abscess in tertiary care center

Abstract

Background: Liver abscess is common clinical condition encountered in outpatient and emergency setting however; rupture of it can lead to higher morbidity and mortality of patients. Despite different and easily accessible modalities are available to diagnose the condition early, still ruptured liver abscess presents with a common cause of acute abdomen in surgical emergency.

Methods: This was a retrospective study carried in Sarojini Naidu Medical College, Agra, between 2019 and 2021. All patients with ruptured liver abscess (ultrasound diagnosed) were included in this study, and those patients having other causes of peritonitis were excluded.

Results: Out of the fourty patients assessed, all patients were male (100%). The most affected age group was 31-40 years (50%) followed by 41-50 years (30%). Right hypochondrium pain was the most common presenting complaint. 80% have history of chronic alcohol intake. Twenty patients (50%) had presented with signs of toxemia. Only right lobe of the liver was affected the most in 28 patients (70%). Escherichia coli was the most common organism isolated in our study in 21patients (52.5%). A total of 16 patients (40%) had diabetes in our study and total of 7 (17.5%) patients had mortality in our study.

Conclusions: Ruptured liver abscess can be diagnosed in emergency setting and is preventable if early intervention is done. It carries high morbidity and mortality so early diagnosis and prompt treatment can reduce the risk of it.