A study on clinical, laborotory and management profile in patients with liver abscess.

Arrun Kumaar, A (2016) A study on clinical, laborotory and management profile in patients with liver abscess. Masters thesis, Madras Medical College, Chennai.


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Liver abscess is a commom surgical problem in our country. Our study aims to review the literature on the management of liver abscess,focusing on the choice of drainage.A case series of our experience with clinical pathological correlation is presented to highlight the indication and outcome of each modality of drainage. Chronic Alcohol intake is a definitive risk factor for development of liver abscess. Diabetes Mellitus is the prevalent comorbid factor, seen especially in the elderly. Other comorbid factors include hypertension, bronchial asthma etc. None of these seemed to have a significant correlation with the disease process. Pig tail drainage is preferred in patients with single abscess of size less than 5 cm situated in superficial segments. Laparotomy and drainage was done in patients with ruptured or impeding rupture abscess. Conservative management with antibiotics was also useful in very small single cavity abscess. The incidence of complications was predominantly seen in patients with ruptured liver abscess who underwent laparotomy, in form of sepsis followed by MODS and death. Residual abscess cavity was seen in small number of patients following pig tail drainage but it was not Significant.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Liver Abscess; Pigtail Catheter; Laparotomy; Alcoholic
Subjects: MEDICAL > General Surgery
Depositing User: Punitha K
Date Deposited: 28 Jul 2017 12:11
Last Modified: 27 Sep 2017 00:45
URI: http://repository-tnmgrmu.ac.in/id/eprint/2357

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