Pyogenic Liver Abscess: Changing Patterns in Approach

Overview

Journal World J Gastrointest Surg

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2011 Jan 6

PMID 21206721

Citations 34

Authors

Ajaz A Malik

Shams Ul Bari

Khawaja Abdul Rouf

Khurshid Alam Wani

Affiliations

Soon will be listed here.

Abstract

Aim: To define optimum management of the pyogenic liver abscess and assess new trends in treatment.

Methods: One hundred and sixty nine patients with pyogenic liver abscess managed at Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir (India) from July 2001 to August 2006 were studied to evaluate and define the optimum treatment.

Results: Mortality in the surgically treated group of patients was 9.4% (12/119), while those treated non-surgically had a fatality rate of 16.66% (7/42). Multiple liver abscesses treated surgically had a surprisingly low mortality of 30%. The biliary tract (64.97%) was the most common cause of liver abscess. Multiple abscesses, mixed organisms and abscess complications are all associated with a significantly increased mortality. However, the lethality of the primary disease process was the most important factor in determining survival.

Conclusion: Transperitoneal surgical drainage and antibiotics are the mainstay of treatment. Percutaneous drainage is recommended for high risk patients only.

Citing Articles

EUS-guided percutaneous liver abscess drainage: A multicenter collaborative study.

Shahid H, Tyberg A, Sarkar A, Gaidhane M, Mahpour N, Patel R Endosc Ultrasound. 2024; 12(6):472-476.

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Pyogenic liver abscess after Milligan-Morgan hemorrhoidectomy.

Yang J, Zhang L, Wang Q J Surg Case Rep. 2024; 2024(6):rjae388.

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A case report and treatment considerations for pyogenic liver abscess with biliary fistula.

Alasso A, Ibrahim I, Ali I, Ahmed M Int J Surg Case Rep. 2024; 116:109343.

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Hepatogastric fistula: a complication of pyogenic liver abscess in a patient with the Brugarda syndrome - A rare case report.

Dev S, Yadav R, Sah B, Sah A, Ghimire B, Shah J Ann Med Surg (Lond). 2023; 85(6):3098-3101.

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Liver abscess in children - Clinical profile and outcome in a resource-limited setting.

Rakholia R, Rawat V, Maroof M J Family Med Prim Care. 2023; 11(11):7289-7293.

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