DOI: 10.36347/sjams.2018.v06i10.009

Pages: 3712-3717

Liver abscess undiagnosed and untreated had a high mortality of almost 100%. With early diagnosis and prompt treatment prognosis is excellent and mortality is extremely low. Over the last three decades with the advancement of amoebicidal agents, newer and effective antibiotics, newer imaging modalities and percutaneous methods, treatment has been changed dramatically. Before 1900, the treatment of liver abscess was treated primarily by incision and drainage, which was associated with high morbidity and mortality of about 60%. The advances in USG and CT that provide earlier and more accurate diagnosis also have enabled these modalities to facilitate treatment through guided aspiration and drainage, thus shifting management away from open surgery to minimally invasive techniques. Percutaneous drainage combined with antimicrobial has become the first line and mainstay of treatment for most of the abscesses. In this study of 100 patients we have compared the outcome of two interventional modalities –needle aspiration and percutaneous drainage. The study was conducted at G.R. Medical College, Gwalior. Our study showed that patients undergoing percutaneous drainage had better outcome as compared to needle aspiration.