Liver ABSCESS

Liver ABSCESS

Liver abscess is still a health and social problems in some countries in Asia, Africa and South America. High prevalence is closely related to poor sanitation, low economic status and poor nutrition. Increasing urbanization led to increased cases of liver abscess in urban areas.

DEFINITIONS
Liver abscess is a pathological cavity containing necrotic tissue arising in the liver tissue due to amoebic infection or bacterial

DIAGNOSIS
• History: fever, abdominal pain upper right feeling
• Physical examination: jaundice, hepatomegaly tenderness, right upper abdominal tenderness
• Lab: leukocytosis, impaired liver function
• Ultrasound: a cavity in the liver
• Aspiration: pussy (+)

DIAGNOSIS
Hepatoma, cholecystitis, liver tuberculosis,

Examination support
DPL, SGPT, bilirubin, amoebic serology; ultrasound, fluid pus culture

THERAPY
• Bed rest, high-calorie high-protein diet
• In amoebic abscess: Metronidazole 4 x 500-750 mg / day for 5-10 days. in pyogenic abscesses: a broad-spectrum antibiotics according to culture results or germs. In the mixed abscess: a combination of metronidazole and antibiotics
• drainage of the abscess fluid, especially in cases with conservative treatment fails or if the abscess is large (> 5 cm)

COMPLICATIONS
Rupture of the abscess (the pleura, lung, pericardium, intestines, skin or intraperitoneal) bleeding in the abscess, sepsis