EPIDEMIOLOGICAL, CLINICAL FEATURES, MANAGEMENT PROFILE & OUTCOME IN PATIENTS OF LIVER ABCESS: A TERTIARY CARE CENTRE EXPERIENCE OF AMRAVATI, MAHARASHTRA

Dr Syed Rizwanuddin Qazi, Dr Yogendra P Chidrawar

Abstract


 Background :  Liver abscess is a common and major health problem in the lower socio-economic group. Evolution in diagnostics and treatment methodology has resulted in marked reduction in morbidity and mortality associated with liver abscess. Today with improved antibiotics and operative techniques, we could achieve much better response in patients with liver abscess.

 Methods: This retrospective study was conducted at the Department of General Surgery, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, Maharashtra. Data of all admitted patients with the diagnosis of suspected liver abscess in Department of General Surgery, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, Maharashtra from the period March 2018 To March 2019 was reviewed to analyze the epidemiological profile (Etiological & predisposing factors), variation in clinical presentation in liver abscesses, laboratory & microbiological profile and to formulate management plan in liver abscess. Total of 100 consecutive patients diagnosed as having liver abscess on ultrasound were included.

Results:  Pyogenic & Amoebic liver abscess is most common in 5th & 4th decade of life with male to female ratio of 16:1. Alcohol consumption, Diabetes Mellitus & low socio economic status are important predisposing factors. Most common presenting complain & clinical finding is abdominal pain. On ultrasound most abscess are solitary & in right lobe of liver. Most common modality of treatment was pigtail catherization & percutaneous aspiration with antibiotics coverage in pyogenic & amoebic liver abscess respectively.

Conclusions: The commonest presentation was young male, alcoholic of low socioeconomic class having right lobe solitary amoebic liver abscess. Appropriate use of minimally invasive drainage along with intravenous antibiotics techniques reduces mortality


Keywords


Liver Abscess, Pyogenic liver abscess, Amoebic liver abscess.

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