Research paper

1. Introduction: A liver abscess is defined as
a pus filled mass in the liver that can
develop from injury to the liver or from
intra abdominal infection disseminated
from portal vein . The majority of these
abscess are categorized as pyogenic or
amoebic ,although a minority are caused
by parasites and fungi . although the
incidence of liver abscess is low , it is
essential to early detect and manage
these lesions since there is a significant
mortality risk in untreated patients . This
activity describes the pathophysiology ,
evaluation and management of liver
abscess and highlights the role of the inter
professional team in the management of
this condition

2. CASE PRESENTATION :
A 27 YEARS OLD MALE PRESENTED WITH
High GRADE FEVER FOR 6 DAYS
associated WITH CHILLS AND RIGORS .
THE Patient also developed PAIN IN THE
ABDOMEN 4 DAYS WAS SUDDEN IN
ONSET , rapidly progressive and was
colicky in nature and was diffused in
presentation .The pain in abdomen was
presented with constipation and episodes
of vomiting . vomiting was sudden in
onset significant in anxiety and non
projectile with food particle JAUNDICE
Diagnosis : RUPTURED LIVER
ABSCESS
Lab investigation : Liver function test
Renal function test
USG ABDOMEN

3. X -RAY CHEST
MANAGEMENT
PATIENT WAS STARTED ON MEDICATION
FOR SYMPTOMATIC

4. Complications:
1) Sepsis
2) Empyema resulting from contiguous
spread or intrapleural rupture of
abscess
3) Rupture of liver abscess with
resulting peritonitis
4) Endophthalmitis when an abscess is
associated with Klebsiella
pneumoniae.
SURGERY
OPEN DRAINAGE SURGERY IS DONE
ONLY WHEN INDICATED
Indications are 1 filling of cavities
after repeated aspiration thick pus
multiloculated pus left lobe abscess
left lobe abscess ruptured abscess
caudate lobe abscess multiple
abscess . procedure may cause

5. bleeding and infection . It is usually
done intraperitoneally .
PROCEDURE : Through
transperitoneal approach , abscess
area is opened , pus is evacuated .
malecot”s catheter /suction tube
drain /sump drain is placed and
bought out through a separate
wound complete drainage of pus is
confirmed by repeat ultrasonography
During discharge ,advice is given to
avoid alcohol.
CHLOROQUINE 250 MG BD for 10
days and DILOXANIDE FUROATE 500
MG TID is given for 10 -14 DAYS
com
Laparoscopic drainage is becoming
popular

6. Complication of surgery anasthetic
problems ,bleeding , liver failure ,
intraperitoneal abscess formation
bile leak bile peritonitis and bile
fistula
Follow up LFT ULTRASOUND
Complete resolution of abscess
cavity
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