Evaluation of Clinical Presentation, Management and Prognosis of Liver Abscess in a Tertiary Care Hospital

Clinical Presentation, Management and Prognosis of Liver Abscess

Abstract

Background: A collection of purulent material in the liver parenchyma produced by bacterial, parasitic, fungal, or mixed infection is referred to as a "liver abscess." It's a common affliction that affects people all around the world. Amoebic bacteria cause roughly two-thirds of infections in developing countries, while pyogenic bacteria cause three-quarters of cases in developed ones. Subjects and Methods: In the general surgery wards of World College of Medical Sciences Research and Hospital, Jhajjar, 55 patients with liver abscesses were included from September, 2018 to August, 2019. The study eliminated cases with hydatid cysts, solid masses, and primary and secondary liver cancer. Results: The study included 54 men and one woman with both forms of liver abscesses, ranging in age from 30 to 73 years old. In the current study, the most cases were found in the 40-49 year age group, with 11 (20.0 %) cases in the 50-59 year age group, 10 (18.2%) cases in the 30-39 year age group, 07 (12.7%) cases in the 60-69 year age group, and 01 (1.8%) cases in the 70 plus year age group. We discovered that males (98.2%) are more likely than females to have this condition (1.8%). We discovered that 20 of the 55 cases had a history of alcohol consumption, with amoebic abscess accounting for 18 (32.7%) and pyogenic abscess accounting for 2(3.6%). Conclusion: In conclusion, those between the ages of 40 and 49 were more likely to develop a liver abscess. Males outweighed girls by 98.2 percent in the liver abscess. Two-thirds of liver abscess cases had a history of alcohol consumption. ALA was more common, with only 3.6 percent of cases being pyogenic. PLA was caused by the most frequent bacterium, Escherichia coli. In unsuccessful aspiration instances, we used percutaneous catheter drainage, whereas in ruptured abscesses, laparotomy and drainage were recommended.