Current Management of Liver Abscess: A Narrative Review
Kumar H. R. *
Department of Surgery, School of Medicine, Faculty of Health and Medical Science, Taylor University, 47500 Subang Jaya, Malaysia.
Soma M.
Department of Surgery, School of Medicine, Faculty of Health and Medical Science, Taylor University, 47500 Subang Jaya, Malaysia.
Saw M. O.
Department of Surgery, School of Medicine, Faculty of Health and Medical Science, Taylor University, 47500 Subang Jaya, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Liver abscess can be divided into pyogenic and amoebic liver abscess. The common organisms that cause pyogenic liver abscess include Escherichia Coli, with amoebic liver abscess being caused by Entamoeba histolytica. The diagnosis is made by ultrasound, computerized tomography, and magnetic resonance imaging of the liver. The treatment can be divided into medical therapy which involves percutaneous drainage and intravenous antibiotics, and surgical therapy which includes surgical drainage either by open or laparoscopic surgery. Surgical drainage is indicated for patients who have failed medical therapy. We have conducted this review article to look at the current management of liver abscess with regards to the role of percutaneous drainage and surgical drainage.
Keywords: Liver abscess, pyogenic liver abscess, amoebic liver abscess, percutaneous drainage, treatment of liver abscess