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. 2012 Oct;74(5):385-90.
doi: 10.1007/s12262-011-0397-0. Epub 2012 Jan 7.

A prospective series case study of pyogenic liver abscess: recent trands in etiology and management

Dhaval O Mangukiya  1 , Jitendra R Darshan, Vijay K Kanani, Saurabh T Gupta
Affiliations

A prospective series case study of pyogenic liver abscess: recent trands in etiology and management

Dhaval O Mangukiya et al. Indian J Surg. 2012 Oct.

Abstract

Our study aims to review the literature on the management of pyogenic liver abscess, focusing on the choice of drainage. A case series of our experience with clinicopathological correlation is presented to highlight the indication and outcome of each modality of drainage. Intravenous antibiotic is the first line, and mainstay, of treatment. Drainage is necessary for large abscesses, equal to or larger than 5 cm in size, to facilitate resolution. While percutaneous drainage is appropriate as first-line surgical treatment in most cases, open surgical drainage is prudent in cases of rupture, multiloculation, associated biliary, or intra-abdominal pathology. Percutaneous drainage may help to optimize clinical condition prior to surgery. Nevertheless, in current good clinical practices, the choice of therapy needs to be individualized according to patient's clinical status and abscess factors. They are complementary in the management of liver abscesses.

Keywords: Pyogenic liver abscess; Ultrasound-guided percutaneous drainage.

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Figures

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Fig. 1
Age-wise distribution [COMP: Delete the text “AGE WISE DISTRIBUTION” from the artwork]
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Symptomatology [COMP: Delete “SYMPTOMATOLOGY” from the artwork]
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Fig. 3
Signs on examination
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Etiology
See this image and copyright information in PMC

References

    1. Lee KT, Wong SR, Sheen PC. Pyogenic liver abscess. Dig Surg. 2001;18:459–465. doi: 10.1159/000050194. - DOI - PubMed
    1. Oschner A, DeBaker M, Murray S. Pyogenic abscess of liver. II. An analysis of forty seven cases with review of literature. Am J Surg. 1938;40:292–319. doi: 10.1016/S0002-9610(38)90618-X. - DOI
    1. Mehnaz A, Mohsin S (1991) Liver abscess in children not an uncommon problem. JPMA 273–275 - PubMed
    1. Miedema BW, Dineen P. The diagnosis and treatment of pyogenic liver abscess. Ann Surg. 1984;200(3):328–334. doi: 10.1097/00000658-198409000-00010. - DOI - PMC - PubMed
    1. Bugti QA, Baloch MA, Wadood AU, Mulghani AH, Azeem B, Ahmed J. Pyogenic liver abscess: demographic, clinical, radiological and bacteriological characteristics and management strategies. GJMS. 2005;3:1.

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