A Study of Clinical Presentation and Outcomes of Management of Complicated Liver Abscess Patients in Tertiary Care Center

Presentation and Outcomes of Management of Complicated Liver Abscess Patients

Abstract

Background: Liver abscess is the second largest prevelant disease in developing countries like india due to poor sanitation, overcrowding and low socio-econic status. Liver abscess is of two types amoebic and pyogenic. There has been significant changes observed in treatment and diagnosis according to the type of abscess. Objective: The objective of the present study was to evaluate the various clinical presentations and to study the different treatment modalities of Liver Abscess. Subjects and Methods: A cross sectional observational study is conducted over a period of 18 months From January 2020 to June 2021 in TMMC and RC, Moradabad in the department of general surgery. All the patients presenting in the hospital and falling in the inclusion criteria are examined, investigations are done, and treatment modalities noted. Results: Out of 71 patients, 23 patients presented with pleural effusion and 26 with anorexia. In 46 patients pigtail catheterization was done and showed significant reduction on USG of abscess cavity size while 4 patients were surgically explored for ruptured liver abscess. Conclusion: Pigtail catherterization is the mainstay treatment with less number of days of hospital stay and maximum patients presented with anorexia and pleural effusion as their presenting clinical features.