A Prospective Series Case Study of Pyogenic Liver Abscess: Recent Trands in Etiology and Management

• Published in: Indian journal of surgery Vol. 74; no. 5; pp. 385 - 390
• Main Authors: Mangukiya, Dhaval O., Darshan, Jitendra R., Kanani, Vijay K., Gupta, Saurabh T.
• Format: Journal Article
• Language: English
• Published: India Springer-Verlag 01.10.2012; Springer; Springer Nature B.V
• Subjects: Antibiotics; Cardiac Surgery; Case studies; Development and progression; Disease management; Liver; Liver cancer; Liver diseases; Medicine; Medicine & Public Health; Neurosurgery; Original; Original Article; Pediatric Surgery; Plastic Surgery; Surgery; Thoracic Surgery; Pyogenic liver abscess; Ultrasound-guided percutaneous drainage
• ISSN: 0972-2068; 0973-9793
• DOI: 10.1007/s12262-011-0397-0

Our study aims to review the literature on the management of pyogenic liver abscess, focusing on the choice of drainage. A case series of our experience with clinicopathological correlation is presented to highlight the indication and outcome of each modality of drainage. Intravenous antibiotic is the first line, and mainstay, of treatment. Drainage is necessary for large abscesses, equal to or larger than 5 cm in size, to facilitate resolution. While percutaneous drainage is appropriate as first-line surgical treatment in most cases, open surgical drainage is prudent in cases of rupture, multiloculation, associated biliary, or intra-abdominal pathology. Percutaneous drainage may help to optimize clinical condition prior to surgery. Nevertheless, in current good clinical practices, the choice of therapy needs to be individualized according to patient’s clinical status and abscess factors. They are complementary in the management of liver abscesses.