Non-parasitic liver abscess

Abstract

Fifteen proved cases of non-parasitic liver abscess from the Manchester region are presented with special reference to the diagnostic features, which with a high level of clinical suspicion will make the diagnosis possible. The value of the serum protein ratio and isotope scanning is particularly emphasized. A classification of the disease based on the pathology and the prognosis is advocated. Once the diagnosis is reachcd, surgical drainage is effective, but the consequences of' delay or misdiagnosis may be fatal.

Clinical, laboratory and management profile in patients of liver abscess in central India

“…Although some continue to encourage the use of antibiotics alone to treat the Liver abscess, this approach seems risky and we, therefore, recommend that all liver abscesses of any origin should be drained to provide optimum treatment. 9 Percutaneous treatment of hepatic abscesses has been praised for its simplicity and excellent results. 5,6 Although of considerable benefit, percutaneous drainage is not necessarily the best treatment for all patients and is associated with a significantly higher failure rate than surgical drainage.…”

The clinical presentation of pyogenic liver abscess

“…In an attempt to identify the clinical and laboratory profile of pyogenic liver abscess at the time of presentation, the 26 cases of pyogenic liver abscess admitted to St Thomas's Hospital, London, between 1936 and1974 have been studied. To these have been added 2 cases seen by the author at Lewisham Hospital in 1972.…”

Two large liver abscesses complicating Crohn’s disease*

“…A surgical drainage is to be considered if the primary disorder requires an intraabdominal intervention at the same time or if a percutaneous drainage technically is not feasible. In principle exclusive antibiotic therapy is to be avoided because antibiotics alone lead to an unacceptably high lethality; the reports vary between 67% and 100% [6,9,18].…”