Clinical study of amoebic liver abscess and its management: An analysis of 40 cases
Journal Title: International Journal of Medical and Health Research - Year 2019, Vol 5, Issue 3
Abstract
Aim and Objective: To study the clinical presentation of patients with amoebic liver abscess (ALA) and to suggest various modalities for its diagnosis and management. Methods: A total of 40 patients of ALA were enrolled in the study. SPSS version 25.0 was used for Statistical Analysis. Chisquare test was used. A ‘p’ value less than 0.05 was considered statistically significant. Results: Age of patients ranged from 11 to 70 years. All patients presented with abdominal pain (100%). Majority presented with fever (72.5%) and nausea/vomiting (67.5%). Weight loss (42.50%), cough (32.50%), anorexia (27.50%) and diarrhoea (25.00%) were other common presenting complaints. Alcohol use was reported by 62.5%. Hypochondrial tenderness (60%) and hepatomegaly (52.5%) were clinical findings present in majority of the patients. Chest X-ray revealed pleural effusion in 40% cases. Size of abscess assessed by USG ranged between 7.29-220 cm2. Out of 40 patients, 18 (45.00%) were treated conservatively. Other treatment modalities used were pigtail insertion (25.00%), USG guided needle aspiration (20.00%), laparotomy (5.00%), both USG guided needle aspiration and Pigtail insertion was done in 5% cases. Conclusion: ALA is a problem mainly associated with lower socioeconomic strata with alcoholism as a strong risk factor. Timely intervention following a systematic diagnostic approach avoids the adverse outcomes. Community studies to recognize the potential risk factors and to suggest preventive strategies are recommended.
Authors and Affiliations
Dr. Shailendra Kaushik, Dr. Dhananjay Dobhal, Dr. Mohit Goyal, Dr. Ashutosh Sayana
Keywords
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