Liver Abscess Management Based on Ultrasonographic Parameters: Conservative Versus Intervention

Abstract

Background: Liver abscess is the most common infection affecting the liver. Amoebic liver abscess is more common than pyogenic liver abscess on a global scale. Younger age, recent travel to areas of endemic amoebiasis, diarrhea, and marked abdominal pain raise the clinical suspicion of amoebic abscess. Pyogenic liver abscess is still a serious illness and a diagnostic challenge. Antibiotics and antiamoebics are the basis of the effective therapy for liver abscess depending on the underlying cause. Aims: The aim is to study the role of ultrasonographic parameters to determine management and to study the efficacy of conservative management in patients with small abscess cavity. Material and Methods: The study was carried out in Sanjay Gandhi Memorial Hospital associated with S.S. Medical College, Rewa (M.P.), on 100 patients of liver abscess during from June 1st, 2016 to May 31st, 2017. Ultrasonography (USG) was done on all patients. Patients with the volume of abscess cavity <150 cc were subjected to conservative management and those with the volume of abscess cavity >150 cc underwent intervention. Result: The success rate of conservative management was 91.18% in patients with volume of abscess cavity <150 cc. Thus, we can go for conservative management in patients with small abscess cavity. Conclusion: USG plays a major role in both diagnosis as well as treatment of the disease. The improvement demonstrated by this study may be attributed to earlier diagnosis and earlier intervention. The basic key to avoid this disease is to maintain a good and healthy lifestyle.