To Study the Etiology and Various Treatment Modalities of Liver Abscess

Abstract

Objective: "To study the etiology and various treatment modalities of liver abscess" a prospective study over a period of one year from November 2011 to October 2012 in the department of General surgery in Acharya Shri Chander College of Medical Sciences and Hospital Sidhra, Jammu. (1) To study the etiology of liver abscess whether pyogenic or amoebic. (2) How many were treated conservatively and how many needed intervention either aspiration or pig tail catheter drainage or open surgical drainage. Materials and Method: The patients of this study were admitted from the emergency wing, indoor and outdoor department of surgery and medicine over a period of one year from November 2011 to October 2012 in the department of General surgery in Acharya Shri Chander College of Medical Sciences and Hospital Sidhra, Jammu. Patients of all age groups and either gender who presented with clinical suspicion of liver abscess or already diagnosed were included in the study. Results: (1) Majority of the patients in our study had amoebic liver abscess (73.33%). (2) E.coli and Klebsella were the most common organisms cultured from the pyogenic abscess. (3) Majority of amoebic liver abscess patients were treated with drug therapy alone whereas all pyogenic liver abscesses required some form of drainage.