A Clinical Study on Hepatic Abscess with Emphasis on Its Management (Code-T0148)

Introduction: Hepatic abscess is a serious condition often caused by bacterial, amoebic, or fungal infections, leading to significant morbidity if not diagnosed and managed promptly. The clinical presentation is often nonspecific, requiring timely imaging and appropriate therapeutic interventions. Effective management strategies, including antibiotics, drainage, and surgery, are critical for successful outcomes.

Aims and Objectives: This study aims to evaluate the clinical presentation, diagnostic methods, and management strategies for hepatic abscesses, focusing on their outcomes and complications.

Methods: A retrospective analysis was conducted on patients diagnosed with hepatic abscess in a tertiary care hospital over a period of two years. Clinical data, including symptoms, diagnostic imaging (ultrasound, CT scan), laboratory results, and management approaches (medical treatment, percutaneous drainage, and surgical intervention), were reviewed. Patients were followed up for complications, recurrence, and recovery.

Results: A total of 40 patients with hepatic abscess were included in the study. The majority were caused by bacterial infections, with a notable percentage resulting from amoebic infection. Ultrasound and CT scans were the primary diagnostic tools. Most patients were treated successfully with antibiotics and percutaneous drainage. Surgical intervention was required in 10% of cases due to complications such as rupture or unresponsive abscesses. The overall recovery rate was 85%, with complications such as sepsis and recurrence occurring in a small percentage.

Conclusion: Hepatic abscess is a treatable condition when diagnosed early. Antibiotic therapy combined with percutaneous drainage is often effective, while surgery remains a viable option for complicated cases. Timely intervention and appropriate management are essential for preventing serious outcomes.

Keywords: Hepatic abscess, Clinical management, Diagnostic imaging, Percutaneous drainage, Antibiotic therapy, Surgical intervention.