“To determine the role of ultrasonography in the management of liver abscess and the etiological factors associated with liver abscess.”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Objective:, To determine the role of ultrasonography in the management of liver abscess and the etiological factors associated with liver abscess. Materials and methods:All patients with liver abscess 2015 to 2018 were included in this study.50 patients with Liver abscess who reported to various departments of Subharti medical College, Meerut, were included in the study.Usg was done to determine the size,location ,number and to know which lobe of the liver is involved.The pus was collected after procedures like PNA or PCD and was sent for culture and sentivity,Elisa test to know the causative organism. Results:On ultrasonography,31 out of 50 patients were found to have solitary abscess and 19 patients were found to have 2 or more abscesses.Of these 41 patients had abscess in right lobe of liver,5 had abscess in left lobe and the remaining 4 had abscess in both the lobes of liver.Pus culture was done in all 50 patients.. Out of a total of 50 patients in the study group ,24 patients had pus culture negative and Elisa was done which showed e.histolytica as the causative organism.Klebsiella genus was found to be the causative organism in 10 patients,followed by e.coli in 7 patients &staph.genus in pus culture of 4 patients.Bacteroides was found in pus culture of 3 patients with citrobacter.genus in only 2 patients.Blood culture was done in 10 patients of which 4 were negative while 3 showed klebsiella genus and 3 showed e coli as the infective organism.11 patients out of 50 were found to have the habit of alcohol intake.Of these 6 patients had history of alcohol intake for less than 10 years and 5 patients were taking alcohol for more than 10 years. Conclusion: Solitary abscess is more common than multiple abscess as on ultrasonography,as nearly 62% patients were found to have solitary abscess.Right lobe of the liver was more commonly involved as seen in 82% of the patients.The study showed that parasitic infestation in the form of Entamoebahistolytica is the most common cause of liver abscess involving 48 % of patients.Among bacterial causes klebsiella genus was found to be the most common organism seen in culture of 20% patients.The study shows that alcohol does have a significant role in the pathogenesis of liver abscess with 22% patients having history of alcohol intake of which duration of alcohol intake was less than 10 years in 54.5% patients and more than 10 years in 45.5% patients.The study showed that early diagnosis with USG had a significant role in decreasing the morbidity and mortality, in deciding the mode of treatment and in managing the liver abscess conservatively through percutaneous needle aspiration(PNA) or Pigtail catherisation(PCD).
Authors and Affiliations
Maheswari Mukesh1, Rastogi Aditya, Rashid Zubair, Verma Sameer
Keywords
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- EP ID EP361408
- DOI 10.9790/0853-1702033440
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