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New Indian Journal of Surgery

Volume  10, Issue 2, March-April 2019, Pages 161-166
 

Original Article

Clinical Study of Liver Abscess

Franal H. Shah1, Sandip kumar S. Bharai2, Mohit B. Chauhan3, Dixit A. Prajapati4

1Assistant Professor, 23rd Year Resident, 33nd Year Resident, 41st Year Resident, Department of General Surgery, M.P. Shah Medical College, Jamnagar, Gujarat 361008, India.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10219.6

Abstract

 Liver abscess is life threatening disease. Liver abscess occurs due to Bacterial, Parasitic, fungal, mixed infection. In this retrospective study 50 cases are admitted and treated in Shree M.P. Shah Medical College, Jamnagar during August 2016 to September 2018. Their age range between 0-80 years with mean age of 49 years. There are 40 Male and 10 Female. Patients having Pre-Morbid condition like Alcohol, Diabetes mellitus, Malignancy and Gall stone. Investigation like liver function tests, Ultrasonography, CT Scan and USG or CT guided aspiration are useful in diagnosis of liver abscess. In this Patients are treated by Antibiotics therapy only, Antibiotic Therapy + Aspiration, Surgical approach. Only antibiotic therapy given to 17 (34%) Patients, out of these 16 patients are cured. Aspiration and Antibiotic therapy (pigtail insertion) given to the 30 (60%) Patients, Surgical approach 3 (6%) Patients. There Pyogenic liver abscess are more common than the Amoebic liver abscess. Most common bacterial infection is Klebsiella > E.coli. Mortality rate in this study 4 patients (8%). Recurrence rate are seen 3 patients (6%). Hospital stay for treatment is average 11-15 Days.

Keywords: Liver abscess; pyognic abscess; amoebic abscess.


Corresponding Author : Sandip kumar S. Bharai