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Liver Abscess Surgery in Bhubaneswar

Liver Abscess

Liver Abscess Surgery in Bhubaneswar

A liver abscess is a purulent inflammation affecting the parenchymal tissue of the liver, progressively leading to necrosis. The abscesses within the liver can be single or multiple. The pathogenic content in abscesses can be identified by collecting lesion contents or cultures of blood, bile, urine and stool samples.
 
Liver abscesses are classified into two types: 

  • Pyogenic

  • Amebic 

Symptoms associated with liver abscess are: 

  • Chills 

  • Nausea

  • Fever

  • Upper abdominal ache 

  • Significant weight loss—10 pounds in a few weeks

  • Dark urine, white or grey stools and clay-colored diarrhoea

An abscessed liver is filled with pus. Common conditions associated with liver abscess are appendicitis and diverticulitis due to hematogenous spread through the portal vein, leading to complications such as liver damage. With our expert lineup of general surgeons, we offer you the best liver abscess surgery in Bhubaneswar.

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FAQ's

Some of the possible causes of a liver abscess include:

  • Stomach illnesses like diverticulitis, appendicitis, and perforations in the colon.

  • Abdominal infections that cause conditions such as appendicitis are the primary cause of liver abscesses.

  • Blood infection: A major contributing factor to the development of a liver abscess is a blood infection.

  • Septicemia: Infectious agents may enter the bloodstream and cause septicemia. 

  • Infection in the ducts that discharge the bile.

  • The simple act of inserting a catheter into the bile duct is known as bile drainage. When the body's bile ducts are obstructed, this results in liver-related issues, such as an abscess in the liver. 

  • Endoscopy of the bile-draining tube.

  • An error when doing an endoscopy on bile-draining ducts may progressively lead to liver abscess.

Your healthcare provider or doctor may insist you take the following blood and imaging tests to determine the presence of a liver abscess.

  • MRI scan of the abdomen

  • Blood test to check signs of infectious inflammation like increased serum white blood count and neutrophil level

  • Abdominal ultrasound test to locate the abscess

  • For the measurement of abscess, a CT scan with injected dye or intravenous contrast 

Surgery or medicine are two options for treating liver abscesses. However, the severity of the disease still plays a major role in determining the treatment plan. Surgery is only advised in extreme circumstances if there has been significant damage and no simple treatment cures it. Anyone can get a liver abscess, so you should see a doctor right away for confirmation if you encounter any of the following symptoms and think your liver abscess may be the cause. After receiving therapy for an amebic liver abscess, there is still a possibility that it will recur. To prevent a recurrence of the abscess, your doctor may prescribe extra drugs to eradicate the bacteria in your intestine. 

The treatment is also performed based on the quantity and size of the pus. Treatment for liver abscess can be performed in two ways:

  • Treatment via medication

  • Treatment via surgery

Different types of antibiotics are given as oral antibiotics for the treatment of a liver abscess. Antibiotics are prescribed by considering the severity, types and seriousness of the infection. Some of the widely used and prominent medications for liver abscesses are:

  • Metronidazole 

  • Combination piperacillin-tazobactam 

  • Clindamycin 

  • Aminoglycosides, such as amikacin 

  • Gentamicin 

In cases where a medical condition worsens, surgery becomes a necessary treatment option. When the drug that was supposed to solve the issue doesn't work, surgery is performed. Surgery is only carried out when it is required to introduce a tiny tube through the abdomen or to use a needle to empty the abscess. A liver abscess is treated surgically with a technique called Laparoscopic or Percutaneous Drainage. The abscess can be drained in a variety of ways. A procedure known as Aspiration is advised and is repeated as needed if the abscess is big enough to burst or if taking oral drugs does not work well. After inserting a syringe needle into the abscess, Aspiration is used to empty the abscess.

Several factors raise the chance of a liver abscess.

  • Lower immune system due to HIV

  • Poor nutrition

  • Travelling to places where the cases of Amebic liver disease are high

  • Overconsumption of alcohol

General risk factors for pyogenic liver abscess include:

  • Crohn's disease

  • Gastrointestinal infection

  • History of abdominal surgery 

It is impossible to predict how long a liver abscess will take to heal because it differs from person to person. A pyogenic liver abscess, however, may require at least eighteen weeks to recover. 
 

The majority of abscesses result from bacterial infections. When bacteria enter your body, your immune system sends infection-fighting white blood cells to the affected area. As the white blood cells attack the bacteria, some nearby tissue dies. This creates a hole, which then fills with pus to form an abscess.
 

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