Different modalities of management of liver abscess

Vasu Tailor; Girish Bochiya; Vipul Lad

doi:10.18203/2349-2902.isj20230654

Authors

Vasu Tailor Department of General Surgery, SMIMER, Surat, Gujarat, India
Girish Bochiya Department of General Surgery, SMIMER, Surat, Gujarat, India
Vipul Lad Department of General Surgery, SMIMER, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20230654

Keywords:

Liver abscess, Percutaneous needle aspiration, Surgical drainage, Pigtail catheter insertion

Abstract

Background: Liver abscess is an acute suppurative infectious disease of liver parenchyma which may be pyogenic, amoebic or tubercular. It can occur due to direct blood spread through enterohepatic circulation or due to ascending infection occurring through biliary tree. Aim was to evaluate effectiveness of various management strategies in the management of liver abscess.

Methods: It is a prospective study carried out in 100 patients of age 12-80 years between 1st December 2021 to 31st May 2022 who presented to general surgery department and diagnosed with liver abscess.

Results: 10% cases were treated conservatively with antibiotics only, 59% cases were treated with percutaneous needle aspiration, 21% patients were treated with percutaneous pigtail catheter drainage, 10% cases were treated with open surgical drainage.

Conclusions: Liver abscess with size less than 5 cm or 50 cc can be managed conservatively but liver abscess with size >5 cm need intervention.

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