A CLINICAL STUDY, DIAGNOSIS AND MANAGEMENT OF LIVER ABSCESS AT VIMS, BELLARY

Abstract

Channanna C1, Fazul Ur Rehman B. Choudhari2, Anand Patil3

ABSTRACT: OBJECTIVES: To analyses the clinical profile, diagnosis and management of liver abscesses. MATERIALS AND METHODS: A prospective study of 30 patients (28 male; 2 females; Age range of: 10-80 years (with a mean age of 43 years) with liver abscesses were studied for their clinical profiles diagnosis and management. The study was carried out from Jan. 2013 to May 2014. 7/30 (23.3%) patients were managed conservatively. 21/30 (70%) patients underwent percutaneous aspiration/pigtail catheter insertion. Laparotomy was done on 2/30 (6.7%) cases. RESULTS: Liver abscess most commonly occurs between 40-60 years. Males were affected more than females. Fever was the most consistently occurring symptom (96.7% of cases). Alcohol consumption was the single most important etiological factor for causation of liver abscess. Alkaline-phosphatase is the most consistently elevated, abnormal liver function test (76.6% of cases). Most liver abscess present as solitary lesions (70%) and most of them occur in right lobe (90).Mortality rate was 3.3%.

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