Rupture Liver Abscess in Tertiary Care Center in India: A Review

The present study aimed to analyze the various epidemiological factors in patients with ruptured liver abscess for better management and insight into the prognosis for such patients. Liver abscess is an inflammatory space-occupying lesion of the liver caused by infectious agents. Amoebic liver abscess (ALA) and pyogenic liver abscess (PLA) are its two predominant causes.

This was a retrospective study carried in Sarojini Naidu Medical College, Agra, between 2019 and 2021.

Common laboratory abnormalities include leukocytosis, hypoalbuminemia, prolonged prothrombin time, and elevated inflammatory markers. Out of the fourty patients assessed, all patients were male (100%). The most affected age group was 31-40 years (50%) followed by 41-50 years (30%). Right hypochondrium pain was the most common presenting complaint. 80% have history of chronic alcohol intake. Twenty patients (50%) had presented with signs of toxemia. Only right lobe of the liver was affected the most in 28 patients (70%). Escherichia coli was the most common organism isolated in our study in 21patients (52.5%). A total of 16 patients (40%) had diabetes in our study and total of 7(17.5%) patients had mortality in our study. A ruptured liver abscess can be identified in an emergency situation and avoided with early treatment. Because of its high morbidity and mortality, it can be prevented with early detection and prompt treatment.