Management of Amoebic Liver Abscess

Abstract

A prospective study of 56 patients with amoebic liver abscess was carried out in the surgical units of Sir Ganga Ram Hospital and Mayo Hospital, Lahore from January 1998 to June 2001. It included 42 males and 14 female patients. It was more commonly seen in the 3 and 4 decade of life. Right lobe was the site of amoebic abscess in 62% of cases, left lobe in 24% and there was a bilateral involvement in 14% of cases. Twenty eight percent of the cases had multiple abscesses. All these cases were managed by Metronidazole administration, by needle aspiration under ultrasonic/CT scan guidance or by open surgical drainage in those cases where the above mentioned method failed. All ruptured abscesses were Managed by open drainage.