A study on clinical presentation, etiology and management of liver abscess based on diagnosis by radiological imaging

BACKGROUND: 90 cases of liver abscess were included in this study. Patients with classical clinical features were finalized after confirming the diagnosis by ultrasonogram. The treatment modalities were categorized based on number, size and location of liver abscess and also taking mode of presentation into consideration. This study comprises the analysis of age & sex distribution; variations in symptomatology; laboratory investigations and the outcome of various modes of treatment. Interpretations were compared with previous analytical studies. AIMS AND OBJECTIVES: This Analytical study was conducted in Dept. of general surgery, Stanley medical college during the period of year 2011 to 2013. Following are the objectives of this study: 1. To study the incidence of hepatic abscess in our institution. 2. To study the Age and Sex distribution. 3. To analyze the clinical features by difference in symptomatology and signs. 4. To ascertain the microbiology of the disease. 5. To throw light on the importance of radiological imaging in establishing the diagnosis and plan the management accordingly. 6. To categorize the treatment modality of the disease. RESULTS & CONCLUSION: Final results of the study being tat males have more predominance 6:1 ratio; 5th decade is peak incidence. Alcohol as etiology was seen in 80% of cases. Abdomen pain (93%) and tenderness (64%) being commonest clinical feature with classical mode of presentation seen in 78% of cases. Right lobe abscess were seen in 70% of cases. Commonest mode of treatment being aspiration (39%). There were no mortalities observed in this study