Pyogenic Liver Abscess

Pyogenic liver abscess is bacterial infection forming pus in liver, most often from biliary obstruction/infection, portal pylephlebitis, or hematogenous spread, presenting with fever, RUQ pain, and leukocytosis. Treatment: percutaneous catheter drainage (US/CT-guided) for single accessible; surgical drainage/resection if multiloculated/multiple/ruptured; broad-spectrum antibiotics (gram-negatives/anaerobes/enterococci) adjusted by culture; IV fluids/nutrition; treat biliary source (ERCP/stent); monitor for sepsis/pleural effusion; follow-up imaging to confirm resolution.

Common Symptoms

Fever; RUQ pain; leukocytosis; by biliary/portal/hematogenous

Causes and Pathogenesis

Bacterial infection spreads to liver forming abscess.

Treatment

Percutaneous/surgical drainage; broad antibiotics; treat biliary source

Preventive Measures

Treat biliary obstruction/infection; early drainage.

Department to Visit

It is recommended to visit the Hepatobiliary-surgery/Interventional-radiology/Gastroenterology/Infectious-disease department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.