European Journal of Cardiovascular Medicine

Background- 'Liver abscess' is a common medical condition in India and has a high mortality ratedue to delayed detection and treatment. Based on the available literature, ruptured liver abscess occurs in 2- 17% of patients and is associated with a mortalityrate of 12%-50%. Currently, these patients are treated with antibiotics along with percutaneous needleaspiration (PNA) or percutaneous catheter drainage (PCD) or surgical drainage, used only for patients who do not respond to these treatments. Therefore, this study aims to evaluate outcomes associated with different treatment strategies for liver abscess. Methods- In the present study, all patients of Ruptured Liver abscess were selected from MYH Hospital Department of Surgery Indore MP,during the period from September 2020 to September2021. Patient was treated conservatively if the size of abscess rupture into subphrenic space, perihepatic space, right paracolic gutter, and right pleural cavity. Percutaneous pigtail catheter was inserted in abscess cavity and collection space under USG guidance. Pus aspirated was then sent for culture and sensitivity. Result- In our study on the basis of outcomes among pigtail and laparotomy procedures-death rate was 13.3 % (higher) in laparotomy procedures than pigtail procedures 6.7 %. And successful rate higher in pigtail procedure (93.3%) than laparotomy procedures (86.7%) . Hence pigtail procedures were better than laparotomy procedures in ruptured liver abscess on the basis of outcome (death rate and success rate). Conclusion: Laparotomy procedures had a higher death rate than pigtail procedures (6.7%). Pigtail procedures (93.3% successful) outperform laparotomy procedures (86.7%). Pigtail procedures performed better than laparotomy in ruptured liver abscess in terms of mortality and success.