CLINICAL STUDY OF LIVER ABSCESS IN TRIBAL REGION OF RAJASTHAN

Mahendra Damor, Rajesh Roat

Abstract


Objective: The present study was carried out in the tribal region of southern Rajasthan to evaluate the cases of liver abscess for their clinical presentation, diagnosis and management.

Material & Methods: The present study is a prospective study carried out in the department of general surgery of Dungarpur Medical College and Hospital, Rajasthan during the period of 1 year of one year from December 2017 to December 2018. A total of 50 patients, admitted in the general surgery ward with the clinical diagnosis of liver abscess were included in the study.

Results: out of 50 patients included in the study, 43 were male and 7 were female. The age of the patients ranges from 21 to 70 years with the mean age of 42.6 years. The maximum number of patients was from the age group of 41-50 years. 42 (84%) cases were of amoebic liver abscess (ALA) and the rest 8 cases (16%) were of pyogenic liver abscess (PLA).

Pain abdomen and fever were the most common presenting feature in both the ALA (95.23%) and PLA (100%). Most common finding was hepatomegaly (90.47% in ALA and 75% in PLA) followed by abdominal tenderness, splenomegaly and pallor. Amongst the various risk factors, alcohol intake was the most commonly associated risk factor (66.66% in ALA and 25% in PLA) followed by diabetes mellitus (19.04% in ALA and 25% in PLA).

Conclusion: Liver abscess is a fatal disease if not treated early. In present scenario, better diagnostic tools and proper treatment has reduced the mortality to a great extent.


Keywords


Hepatomegaly, Liver abscess, splenomegaly, Pyogenic, Amoebiasis.

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