Management Issues in Paediatric Liver Abscesses

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Management Issues in Paediatric Liver Abscesses

September 1, 2021 Medicine and Medical 0

Background: Liver abscesses continue to be a major source of morbidity in children, with signs of an increase in their occurrence. Evidence-based care would be guided by an assessment of the clinical profile and management outcomes of paediatric liver abscess.

The goal of this study is to see how physical aspects of paediatric liver abscesses influence intervention and treatment outcomes.

Methods: From February 2011 to August 2016, all LA patients were managed in a retrospective, observational cohort study. Symptoms, possible predisposing factors, diagnosis technique, interventions, and length of stay were all collected and examined. The study’s therapy was guided by the lesion’s sonographic features.

During this time, thirty-two patients with an average age of 5.52 years were treated. Fever (25, 78 percent), right hypochondrium discomfort (19, 59 percent), abdominal distension (4, 12.5 percent), subacute intestinal obstruction (2, 6.25 percent), and peritonitis were the most common clinical characteristics (2, 6.25 percent ). Abscesses ruptured in three patients. Three individuals responded well to conservative therapy. USG guided needle aspiration was successful in five people with a size of less than 100ml. Pigtail insertion was required in 21 patients with larger lesions. A laparotomy was performed on three people. Severe sepsis and coagulopathy claimed the life of one patient. The remaining patients were all released.

Conclusions: In children, LA is a significant cause of morbidity. If not addressed, it might lead to rupture and death. Positive outcomes may be achieved if there is a high level of suspicion, early screening, and proper intervention in form-tailored management.

Author (S) Details

Digamber Chaubey
Department of Pediatric Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Anand Pandey
Department of Pediatric Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Piyush Kumar
Department of Pediatric Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Archika Gupta
Department of Pediatric Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Jiledar Rawat
Department of Pediatric Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Ashish Wakhlu
Department of Pediatric Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

Shiv Narain Kureel
Department of Pediatric Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India.

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