Retrospective Evaluation of Presentation and Management of Liver Abscess Patients

  • Pawan Kumar Senior Resident, Department of General Surgery, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India.
  • Pankaj Kumar Assistant Professor, Department of General Surgery, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India.
  • Kumar Ratnesh Associate Professor, Department of General Surgery, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India.
Keywords: Liver, Abscess, Management.

Abstract

Background: Liver abscesses are potentially lethal diseases if early diagnosis and treatment are not instituted. They are prevalent all over the globe and pyogenic abscesses are predominant over amoebic. Hence; the present study was conducted for evaluating presentation and management of Liver abscess patients.

Materials & Methods: Data records of a total of 50 patients of liver abscess were analysed. Complete demographic and clinical details of all the patients were obtained from the record files. A separate Performa was made and treatment protocol followed along with follow-up details was recorded. All the results were recorded in Microsoft excel sheet and were analysed by SPSS software.

Results: Pain abdomen, fever and anorexia were found to be present in 98 percent, 92 percent and 96 percent of the patients respectively. Nausea/ vomiting, Diarrhea, cough and weight loss were present in 28 percent, 38 percent and 86 percent of the patients. Pallor, jaundice, hepatomegaly and pleural effusion were the main associated signs identified among patients of liver abscess.In 82 percent of the patients, abscess drainage was done using percutaneous needle aspiration, while in 12 percent of the patients; abscess drainage was done by pigtail drainage.

Conclusion: Liver abscess is a serious health condition which has a poor prognosis if left untreated. Early recognition of the signs and symptoms is necessary for improving the prognosis along with morbidity and mortality associated with it.

 

 

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Author Biographies

Pankaj Kumar, Assistant Professor, Department of General Surgery, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India.

 

 

Kumar Ratnesh, Associate Professor, Department of General Surgery, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India.

 

 

References

1. Lardière-Deguelte S, Ragot E, Amroun K, Piardi T, Dokmak S, Bruno O, Appere F, Sibert A, Hoeffel C, Sommacale D, Kianmanesh R. Hepatic abscess: Diagnosis and management. J Visc Surg. 2015 Sep;152(4):231-43.
2. Alvares Perez J.A., Gonzalez J.J., Baldoneda R.P. Single and multiple pyogenic liver abscesses: etiology, clinical course and outcome. Dig Surg. 2001;18:283–288.
3. Salahi R., Dehghani S.M., Salahi H., Bahadur A., Abbasy H.R., Salahi F. Liver abscess in children: a large single centre experience. Saudi J Gastroenterol. 2011;17(3):199–202.
4. Jeffrey R.B., Jr., Tolentino C.S., Chang S.C. CT of small pyogenic abscess: the ‘cluster sign’ AJR Am J Roentgenol. 1988;151:487–9.
5. Czerwonko ME, Huespe P, Bertone S, Pellegrini P, Mazza O, Pekolj J, de Santibañes E, Hyon SH, de Santibañes M. Pyogenic liver abscess: current status and predictive factors for recurrence and mortality of first episodes. HPB (Oxford). 2016 Dec;18(12):1023-30.
6. Lai HC, Lin CC, Cheng KS, Kao JT, Chou JW, Peng CY, Lai SW, Chen PC, Sung FC. Increased incidence of gastrointestinal cancers among patients with pyogenic liver abscess: a population-based cohort study. Gastroenterology. 2014 Jan;146(1):129-37.e1.
7. Mishra K., Basu S., Roychoudhry S., Kumar P. Liver abscess in children: an overview. World J Paed. 2010;6(3):210–6.
8. Mezhir J.J. Current management of pyogenic liver abscess: surgery is now second line treatment. J Am Coll Surg. 2010;210(6):975–83.
9. Mischnik A, Kern WV, Thimme R. [Pyogenic liver abscess: Changes of Organisms and Consequences for Diagnosis and Therapy]. Dtsch. Med. Wochenschr. 2017 Jul;142(14):1067-74.
10. Serraino C, Elia C, Bracco C, et al. Characteristics and management of pyogenic liver abscess: A European experience. Medicine (Baltimore). 2018;97(19):e0628.
11. Jha AK, Das A, Chowdhury F, Biswas MR, Prasad SK, Chattopadhyay S. Clinicopathological study and management of liver abscess in a tertiary care center. J Nat SciBiol Med. 2015;6(1):71-5.
12. Ghosh S, Sharma S, Gadpayle AK, et al. Clinical, laboratory, and management profile in patients of liver abscess from northern India. J Trop Med. 2014;2014:142382. doi:10.1155/2014/142382
Published
2020-09-30
How to Cite
1.
Kumar P, Kumar P, Ratnesh K. Retrospective Evaluation of Presentation and Management of Liver Abscess Patients. Int Arch BioMed Clin Res [Internet]. 2020Sep.30 [cited 2020Oct.21];6(3):GS1-GS3. Available from: http://iabcr.org/index.php/iabcr/article/view/607
Section
ORIGINAL ARTICLES ~ General Surgery