Management of liver abscess

ABSTRACT

Liver abscess is a common disease in Pakistan associated with higher morbidity and mortality. Early diagnosis offers the best chance of cure. This was a hospital based study from January 1999 to February 2001. To compare the results of different modalities available to treat the liver abscess. Secondly to find out which type of liver abscess is common in our region. Fifty patients of liver abscess were studied they were divided into three groups according to the size of the liver abscess [in group-I, 22 patients , in diagnosed in 45 cases [90%] and pyogenic in 5 cases [10%]. Maximum patients of group-I were treated by conservative treatment. Group-II patients with minimal invasive surgery and group-III were treated with open surgical treatment. Amoebic liver abscess was found in 45 cases [90%] and Pyogenic in 5 cases [10%]. After amoebis serological test and fluid examination for culture [aerobic, anaerobic, gramstainning] and colour of the fluid anchovy sauce in amoebic. Delay in the diagnosis/ treatment increases the severity of disease and difficulty in management. The patient can be managed easily by medical treatment when present early