INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016
open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15
Dr B Kranthi Abhishek
, Dr Avala Varun Sai , Dr Swathi Pawar , Dr B Sridhar , Dr G S Kejriwal
Unique Id:
IJSDR2404035
Published In:
Volume 9 Issue 4, April-2024
Abstract:
Objectives: This study aims to elucidate the computed tomography (CT) and clinical findings associated with intra-abdominal ruptured liver abscesses. Patients and Methods: Retrospective analysis was conducted on CT and clinical data of 32 patients diagnosed with intra-abdominal ruptured liver abscesses at Maharajah’s Institute of Medical Sciences (MIMS), Nellimarla between 2022 and 2023. Results: The study comprised 32 patients with a median age of 53.3±15.3 years (range, 24–85 years). Male predominance was observed, with a male-to-female ratio of 1.9:1. Predominant clinical symptoms included abdominal pain (96.9%), malaise and anorexia (96.9%), fever (78.1%), and peritonitis (78.1%). The mean size of liver abscesses was 8.4 cm (range, 4.0–14 cm), with single abscesses in 11 patients and multiple abscesses in 21 patients. Unilobar involvement was predominant, with the right lobe affected in 68.8% (22 of 32) of cases. Abscess liquefaction was observed in 25 patients, while gas was present in the abscess cavity in 7 patients. Free intraperitoneal fluid was evident in all patients. Conclusion: Understanding intra-abdominal ruptured liver abscesses is crucial for early diagnosis and appropriate management.
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