ABSTRACT
Background: Liver abscess is a major health problem in tropical and subtropical regions. Aim: The present study aimed to evaluate the clinical profile, management of amoebic liver abscess patients. Materials and methods: A cross-sectional study was conducted in Department of Surgery MNR Medical College Hospital, Sangareddy over a period of 2 years from June 2014 to July 2016. A total of 100 patients with liver abscess were included in this study. Clinical examination, detail case history, ultrasonography reports, case management and outcome were recorded during study. Results: Among 100 patients, 88 were males and 12 were females. Majority of cases were belongs to the age group of 30 -40 years (45%). Most common clinical features of amoebic liver abscess was fever (89%), abdominal pain (78%) and diarrhoea (37%). The major signs were hepatomegaly (87%), right lobe abscess (68%), left lobe abscess (36%) and pleural effusion (18%). Mortality rate was 3% out of 100 patients.
ABSTRACT
Background: Acute pancreatitis is an inflammatory disease of the pancreas, develops over a short period of time. Aim: To evaluates the clinical presentation in different age group, gender, aetiology, mortality, morbidity and outcome of management of patients with acute pancreatitis in surgical unit of MNR Teaching Hospital. Materials and methods: A prospective study was conducted in MNR Medical College Hospital over a period of 3 years. Patient details, clinical examinations, laboratory reports, treatment options, complications and mortality rate were recorded during study period. Results: Among 46 patients, 29 (63.04%) were males and 17 (36.95%) were female. Most common age group with acute pancreatitis was 21-30 years (45.65%). All patients had pancreatic oedema. 26.08% acute pancreatitis was due to gallstones, 15.2% had pseudo cyst, 17.4% had ascites and 15.21% had hepatosplenomegaly. Fatality rate was 6.5%. Conclusion: Conventional conservative approach for the management of acute pancreatitis has better outcome.