Hepatic Abscess

Hepatic abscess is localized pus collection in liver (pyogenic/amebic/fungal), due to biliary infection, portal pylephlebitis, hematogenous spread, or contiguous extension, presenting with fever, right-upper-quadrant pain, and jaundice. Treatment: percutaneous catheter drainage (US/CT-guided) for single accessible; surgical drainage if multiloculated/multiple/ruptured; broad-spectrum antibiotics (gram-negatives/anaerobes) adjusted by culture; metronidazole for amebic; antifungal if fungal; IV fluids/nutrition; treat source (biliary obstruction: ERCP); monitor for sepsis; follow-up imaging to confirm resolution.

Common Symptoms

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

Causes and Pathogenesis

Bacterial/parasitic/fungal infection forms pus collection in liver.

Treatment

Percutaneous/surgical drainage; antibiotics; treat source; monitor sepsis

Preventive Measures

Treat biliary infection; early drainage; treat pylephlebitis.

Department to Visit

It is recommended to visit the Hepatobiliary-surgery/Gastroenterology/Infectious-disease/Interventional-radiology 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.