Home
About Us
Issues
Authors
Reviewers
Users
Subscription
Our Other Journals
Site map
Aims and Scope
Salient Features
Editorial Board
Editorial Statements
Editorial-PeerReview Process
Publication Ethics & Malpractice
Ijars Performance
Journal Policy
Contact Us
Current Issue
Forthcoming
Article Archive
Access Statistics
Simple Search
Advanced Search
Submit an Article
Instructions
Assistance
Publication Fee
Paid Services
Apply As Reviewer
Acknowledgment
Register Here Edit Register
Register For Article Submission
Login Here Logout
Login For Article Submission
Annual
Buy One Issue
Payment Options
How to Order
JCDR
IJNMR
NJLM

 

Welcome : Guest

Users Online :

 

 

 

 

 

 

 

 

Original article / research

2021
Year :2021 Month : January-February Volume : 10 Issue : 1 Page : SO12 - SO16

Hepatic Abscess- Management and Outcomes at Tertiary Care Centre, Garhwal, Uttarakhand, India

Published: January 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/45177.2605
Correspondence Address :
Amit Keshri, Biant Singh, V Aironi, Santosh Kumar,
Amit Keshri,
Assistant Professor, Department of Surgery, VCSGGMS & RI, Srikot,
Srinagar, Uttarakhand, India.
E-mail: dramitkeshri@gmail.com
Introduction: Introduction: Liver is the commonest organ prone to develop an abscess. Encountered in tropical and developing countries, this poses diagnostic/therapeutic challenges, and has significant associated morbidity. Hepatic abscess patients of varied aetiology commonly present in this setup at an advanced disease stage and warrant prompt recognition and remediation.

Aim: The aim of the study is to depict, analyse management and outcome aspects of hepatic abscesses at the Tertiary Care Center in Garhwal, Uttarakhand, India.

Materials and Methods: Hepatic abscess patients who presented and were managed between August 2015 and August 2019 at VCSGGMS & RI-UT were included in this observational descriptive study. Appropriate directed antimicrobial therapy was administered to all cases. Post-resuscitation and evaluation based upon the indication and surgeon’s preference, Percutaneous Needle Aspiration (PNA) or percutaneous USG-guided Pigtail Catheter Drainage (PCD) done, while exploratory laparotomy/Surgical Drainage (SD) done for complications.

b##Results: Seventy patients (Total=70; 58 males=82.8%) presented with hepatic abscess, out of which 40 (57.1%) needed in-hospital treatment for severity of symptoms. PNA was done in 25 patients (35.7%), with nine (12.8%) required multiple aspirations, PCD done in seven (10.0%) and eight (11.4%) had to undergo exploratory laparotomy/SD among the 40 Inpatient Department (IPD) treated patients. Patients in this setup had a higher number of Pyogenic Liver Abscess (PLA) (48 of 70=68.6%), with E.coli predominating (26, 37.1%), than Amebic Liver Abscess (ALA) (n=17, 24.3%); most being solitary cavities (40, 57.1%), confined to the right lobe (33, 47.1%). Alcoholism (34.3%) and hypoalbuminemia (64.3%) were associated with development as well as delayed resolution of the abscess. While seven patients required repeat interventions, most gained relief from the primary treatment modality (53, 75.7%), assessed on follow-up.

Conclusion: Antibiotics and multi-modality image-guided percutaneous management resolved most hepatic abscesses. Surgeon and intervention radiologist collaboration recommended.
 
[ FULL TEXT ]   |   [ ]
 

Article Utilities

  • Readers Comments
  • Article in PDF
  • Citation Manager
  • Article Statistics
  • Link to PUBMED
  • Print this Article
  • Send to a Friend

Quick Links

REVIEWER
ACCESS STATISTICS
Home  |  About Us  |  Online First  |  Current Issue  |  Simple Search  |  Advance Search  |  Register  |  Login  |  Contact  |  Privacy Policy  |  Terms of Use
Author Support  |  Submit Manuscript  |  IJARS Pre-Publishing  |  Reviewer  |  Articles Archive  |  Access Statistics
©INTERNATIONAL JOURNAL OF ANATOMY RADIOLOGY & SURGERY (IJARS), ISSN : 2277-8543.
EDITORIAL OFFICE : 1/9, Roop Nagar, Delhi 11000. Phone : 01123848553

* This Journal is owned and run by medical professionals *