A Retrospective Observational Radiographic Assessment of the Efficacy of Laparoscopic Treatment in the Management of IntraAbdominal Ruptured Liver Abscess
Authors/Creators
- 1. Senior Resident, Department of Radio Diagnosis, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
Description
Abstract
Aim: The aim of the study was to assess the efficacy of laparoscopic treatment in the
management of intra-abdominal ruptured liver abscess.
Methods: This was а retrospective observational study of Department of Radio Diagnosis,
Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India for one year, patients with
intra-abdominal ruptured liver abscess. 50 patients were included in the study. All diagnosed
cases of ruptured liver abscess based on radiology and laparoscopic investigation were
included in the study. Details of demographics, clinical features, computed tomography were
recorded.
Results: The study group consisted of 50 patients with а median age of 54.6±15.5 years
(range, 24-85 years). There were more men than women in the study. Diabetes mellitus was
the most common underlying medical condition (30%), followed by bacterial pneumoniаe
(20%), hypertension (8%), bile duct stones (4%). Most of the patients were suffering from
abdominal pain (94%), malaise and anorexia (94%), fever (80%), peritonitis (76%). The
mean time interval between the onset of fever and CT was 8.4 days (range, 1-30 days). The
mean size of the liver abscess was 8.2 cm (range, 4.0-14 cm). А single abscess was found in
18 patients, and multiple abscesses were seen in 32 patients. Unilobаr involvement was seen
in 46 patients. The abscesses were completely liquefied in 40 patients and gas in the abscess
cavity in 10 patients. Free intraperitoneal fluid was seen in all patients. The right lobe
affected more commonly than left lobe.
Conclusion: А ruptured hepatic abscess is more life-threatening than an unruptured one. А
rapid and accurate diagnosis and prompt surgical intervention are essential. Most of the cases
had an acute presentation and the right lobe is commonly affected. Abdominal pain was the
most common symptom. Computed tomography is an ideal tool for diagnosing hepatic
abscesses and its complications
Abstract (English)
Abstract
Aim: The aim of the study was to assess the efficacy of laparoscopic treatment in the
management of intra-abdominal ruptured liver abscess.
Methods: This was а retrospective observational study of Department of Radio Diagnosis,
Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India for one year, patients with
intra-abdominal ruptured liver abscess. 50 patients were included in the study. All diagnosed
cases of ruptured liver abscess based on radiology and laparoscopic investigation were
included in the study. Details of demographics, clinical features, computed tomography were
recorded.
Results: The study group consisted of 50 patients with а median age of 54.6±15.5 years
(range, 24-85 years). There were more men than women in the study. Diabetes mellitus was
the most common underlying medical condition (30%), followed by bacterial pneumoniаe
(20%), hypertension (8%), bile duct stones (4%). Most of the patients were suffering from
abdominal pain (94%), malaise and anorexia (94%), fever (80%), peritonitis (76%). The
mean time interval between the onset of fever and CT was 8.4 days (range, 1-30 days). The
mean size of the liver abscess was 8.2 cm (range, 4.0-14 cm). А single abscess was found in
18 patients, and multiple abscesses were seen in 32 patients. Unilobаr involvement was seen
in 46 patients. The abscesses were completely liquefied in 40 patients and gas in the abscess
cavity in 10 patients. Free intraperitoneal fluid was seen in all patients. The right lobe
affected more commonly than left lobe.
Conclusion: А ruptured hepatic abscess is more life-threatening than an unruptured one. А
rapid and accurate diagnosis and prompt surgical intervention are essential. Most of the cases
had an acute presentation and the right lobe is commonly affected. Abdominal pain was the
most common symptom. Computed tomography is an ideal tool for diagnosing hepatic
abscesses and its complications
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IJCPR,Vol15,Issue2,Article16.pdf
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Additional details
Dates
- Accepted
-
2023-01-18