A clinical study,diagnosis and management of liver abscess present in our institution Chengalpattu Medical Collge.

Murugesan, V (2016) A clinical study,diagnosis and management of liver abscess present in our institution Chengalpattu Medical Collge. Masters thesis, Chengalpattu Medical College, Chengalpattu.

[img]
Preview
Text
2201006murugesanv.pdf

Download (2MB) | Preview

Abstract

All cases of Liver abscesses presenting to the Surgery OPD or Casualty of CHMC Hospital, referred from medical wards of CHMC hospital or referred from outside diagnosed as case of liver abscess, in Chengalpattu over a period of 1 and half years with Clinical/ Sonological/CT features of Liver abscess. Most common liver abscess presenting in our institution was amoebic in nature. Most common age of presentation was 45 years. Most common presentation of liver abscess was abdominal pain. Most common clinical sign was intercostal tenderness. Alcoholism becomes the most frequently associated risk factor. Ultrasound and CT scan abdomen plays an important role in diagnosing most of the liver abscess patients presented in our institution. Eighteen percent (18%) of the liver abscess patients were managed successfully with medical management alone. Those who are all not responding to medical management were treated with image guided drainage/aspiration. Forty five percent (45%) of the patients presented in our institution were successfully treated by image guided drainage/aspiration. Those who developed complications (ruptured liver abscess) and who are all not responding to conservative line of management required emergency open drainage. Thirty seven percent (37%) of patients who developed complications on presentation or later were treated with open drainage in our institution.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Liver Abscess ; Amoebic Liver Abscess ; Pyogenic Liver Abscess ; Ultrasonogram ; Ct Abdomen ; Medical Management ; Image Guided Aspiration/Drainage ; Open Drainage
Subjects: MEDICAL > General Surgery
Depositing User: Punitha K
Date Deposited: 31 Jul 2017 09:36
Last Modified: 28 Sep 2017 03:11
URI: http://repository-tnmgrmu.ac.in/id/eprint/2386

Actions (login required)

View Item View Item