A retrospective observational study of liver abscess in children at tertiary care hospital of Ahmedabad city

In developing country like India, liver abscess in children is mostly pyogenic (PLA) in nature. This article aimed to analyze detail parameters of LA of admitted cases in tertiary care hospital of Ahmedabad city. Details of 32 patients From1 month to 14 years age groups were assessed retrospectively over periods of 2 years. The demographic profile, clinical presentation, laboratory and ultra sonographic, microbiological profile, management and outcome of patients were retrieved from case records. All cases had PLA with mean age 6 years and male predominance (64.28%). Under nutrition and enteric fever were only risk factors derived. Fever (93.75%) and abdominal pain (68.75%) were commonest presentation of LA. Leukocytosis found in 62.5% cases with neutrophilic predominance. Majority of LA were single (90.6%), in right lobe of liver (68.8%) with more than 50mm in size. Positivity rate of pus and blood culture in 12.5% and 15.62% cases respectively where staphylococcus aureus is commonest organism.17 cases (53.12%) require antibiotics treatment alone ,14 cases (43.75%) USG guided needler aspiration and 1 case (3%) open surgical drainage with 100%recovery rate. PLA is commonest in children and cryptogenic in origin. Management of LA required multidisciplinary approached include antibiotic and/or USG guided percutaneous needle aspiration