European Journal of Cardiovascular Medicine

Background: Liver abscess is a global health concern with diverse etiologies, including bacterial, parasitic, fungal, or mixed infections. This study aimed to comprehensively investigate the clinicopathological and radiological aspects of various types of liver abscesses in a tertiary hospital center. Material & Methods: A retrospective analysis of 60 patients with liver abscesses was conducted from August 2022 to July 2023. Clinical presentations, laboratory findings, imaging characteristics, microbiological profiles, and abscess volumes were assessed. Liver abscesses were categorized based on ultrasound findings. Data were analyzed descriptively. Results: Fever (76.67%) and upper abdominal pain (66.67%) were the predominant symptoms. Leucocytosis (>11000/mm³) was observed in 63.33% of cases. Escherichia coli (15%) and Klebsiella (10%) were common isolates. Most abscesses (55%) presented with right upper quadrant tenderness. Ultrasound-guided aspiration facilitated diagnosis, revealing amoebic, pyogenic, and fungal abscesses. Abscess volumes ranged from 100-600 cc. Conclusion: Liver abscesses present with diverse clinical features and microbiological profiles. Diagnostic imaging, especially ultrasound, plays a crucial role in characterizing abscesses. The study underscores the importance of a multidisciplinary approach for accurate diagnosis and management.