AMOEBIC LIVER ABSCESS - A STUDY OF COMPLICATION AND MANAGEMENT IN MEDICAL COLLEGE OF NORTH BIHAR

Santosh Kumar Sharma

Volume : VI, Issue : VIII, August - 2017

AMOEBIC LIVER ABSCESS - A STUDY OF COMPLICATION AND MANAGEMENT IN MEDICAL COLLEGE OF NORTH BIHAR

Santosh Kumar Sharma

Abstract :

Introduction: Amoebic liver abscess (ALA) is the most common form of extraintestinal amoebiasis. It has a wide spectrum of clinical presentation. Left untreated it leads to complication increasing morbidity and mortality.

Aim: To study a different type of clinical presentation and complication in order to prevent complication by earlier diagnosis.

Material & methods: A total of 50 patients with a diagnosis of ALA were studied in Department of surgery of SKMCH Muzaffarpur, Bihar, India from Feuary 2015 to May 2017.

Result: Out of 50 pt,44(88%) were male and 6(12%)female.The age ranged from 20 to 70 year mostly between 30-40 year. Pain in the right hypochondrium was most common symptom present in 42 pt.Fever was present in 40 pt(80%).Solitary abscess was present in 46 cases.USG was helpful in diagnosing ALA.The most common complication was pulmonary in 18(36%) followed by an intraperitoneal rupture in 16 (32%).

Conclusion: ALA is the most common infective space occupying lesion of the liver.So any pt with lower chest and upper abdominal pain with tender liver enlargement should raise suspicion of ALA.USG is very helpful in the diagnosis of ALA.