All cases of Liver abscesses presenting to the Surgery OPD or Casualty of CHMC
Hospital, referred from medical wards of CHMC hospital or referred from outside
diagnosed as case of liver abscess, in Chengalpattu over a period of 1 and half years with
Clinical/ Sonological/CT features of Liver abscess.
Most common liver abscess presenting in our institution was amoebic in nature.
Most common age of presentation was 45 years. Most common presentation of liver
abscess was abdominal pain. Most common clinical sign was intercostal tenderness.
Alcoholism becomes the most frequently associated risk factor. Ultrasound and CT
scan abdomen plays an important role in diagnosing most of the liver abscess patients
presented in our institution. Eighteen percent (18%) of the liver abscess patients were
managed successfully with medical management alone.
Those who are all not responding to medical management were treated with image
guided drainage/aspiration. Forty five percent (45%) of the patients presented in our
institution were successfully treated by image guided drainage/aspiration.
Those who developed complications (ruptured liver abscess) and who are all not
responding to conservative line of management required emergency open drainage. Thirty
seven percent (37%) of patients who developed complications on presentation or later were
treated with open drainage in our institution
