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. 2017 Jan-Jun;7(1):23-26.
doi: 10.5005/jp-journals-10018-1206. Epub 2017 May 5.

Management of Liver Abscess in Children: Our Experience

Mukta Waghmare  1 , Hemanshi Shah  1 , Charu Tiwari  1 , Kiran Khedkar  1 , Suraj Gandhi  1
Affiliations

Management of Liver Abscess in Children: Our Experience

Mukta Waghmare et al. Euroasian J Hepatogastroenterol. 2017 Jan-Jun.

Abstract

Introduction: Liver abscess is common in pediatric population in India. Children have unique set of predisposing factors and clinical features. Liver abscesses are infectious, space-occupying lesions in the liver; the two most common abscesses being pyogenic and amebic. Its severity depends on the source of the infection and the underlying condition of the patient.

Materials and methods: A total of 34 patients less than 12 years were assessed in a retrospective study from January 2012 to 2016. Patients were assessed in terms of age of presentation, etiology, bacteriology, diagnosis, and modality of treatment.

Results: The mean age of presentation was 6.3 years. Average volume of abscess was 164 cc. Nine patients (26.4%) underwent percutaneous needle aspiration under ultrasound guidance with wide bore needle (18 G disposable needle). Three patients required more than two sittings of aspiration. Patients with volume more than 80 cc were treated with catheter drainage. Twenty patients (58.8%) underwent ultrasound-guided percutaneous catheter drainage. Two patients required catheter drainage for large abscess and needle aspiration for the smaller abscess.

Conclusion: Antimicrobial therapy along with percutaneous drainage constitutes the mainstay of treatment, whereas open surgical drainage should be reserved for selected cases.How to cite this article: Waghmare M, Shah H, Tiwari C, Khedkar K, Gandhi S. Management of Liver Abscess in Children: Our Experience. Euroasian J Hepato-Gastroenterol 2017;7(1):23-26.

Keywords: Catheter drainage; Liver abscess; Percutaneous aspiration; Predisposing factors..

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Conflict of interest statement

Source of support: Nil Conflict of interest: None

Figures

Graph 1:
Graph 1:
Management modalities of 34 patients with liver abscesses
Fig. 1:
Fig. 1:
Ultrasonography showing abscess in liver
See this image and copyright information in PMC

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