Euroasian Journal of Hepato-Gastroenterology

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VOLUME 7 , ISSUE 1 ( January-June, 2017 ) > List of Articles

ORIGINAL ARTICLE

Management of Liver Abscess in Children: Our Experience

Mukta Waghmare, Hemanshi Shah, Charu Tiwari, Kiran Khedkar, Suraj Gandhi

Citation Information : Waghmare M, Shah H, Tiwari C, Khedkar K, Gandhi S. Management of Liver Abscess in Children: Our Experience. Euroasian J Hepatogastroenterol 2017; 7 (1):23-26.

DOI: 10.5005/jp-journals-10018-1206

License: CC BY 3.0

Published Online: 01-06-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Liver abscess is common in pediatric population in India. Children have unique set of predisposing factors and clinical features. Liver abscesses are infectious, space-occupying lesions in the liver; the two most common abscesses being pyogenic and amebic. Its severity depends on the source of the infection and the underlying condition of the patient.

Materials and methods

A total of 34 patients less than 12 years were assessed in a retrospective study from January 2012 to 2016. Patients were assessed in terms of age of presentation, etiology, bacteriology, diagnosis, and modality of treatment.

Results

The mean age of presentation was 6.3 years. Average volume of abscess was 164 cc. Nine patients (26.4%) underwent percutaneous needle aspiration under ultrasound guidance with wide bore needle (18 G disposable needle). Three patients required more than two sittings of aspiration. Patients with volume more than 80 cc were treated with catheter drainage. Twenty patients (58.8%) underwent ultrasound-guided percutaneous catheter drainage. Two patients required catheter drainage for large abscess and needle aspiration for the smaller abscess.

Conclusion

Antimicrobial therapy along with percutaneous drainage constitutes the mainstay of treatment, whereas open surgical drainage should be reserved for selected cases.

How to cite this article

Waghmare M, Shah H, Tiwari C, Khedkar K, Gandhi S. Management of Liver Abscess in Children: Our Experience. Euroasian J Hepato-Gastroenterol 2017;7(1):23-26.


  1. Liver abscess in children an overview. World J Pediatr 2010 Aug;6(3):210-216.
  2. Epidemiological aspects of liver abscesses in children in the Western Cape Province of South Africa. J Trop Pediatr 1997 Apr;43(2):103-105.
  3. Hepatic abscesses in childhood: retrospective study about 33 cases observed in New-Caledonia between 1985 and 2003. Arch Pediatr 2004 Sep;11(9):1046-1053.
  4. Conservative initial treatment for liver abscesses in children. Br J Surg 1994 Jun;81(6): 872-874.
  5. Pyogenic liver abscess in children – South Indian experiences. J Pediatr Surg 1998 Mar;33(3):417-421.
  6. Amebiasis. N Engl J Med 2003 Apr;348(16):1565-1573.
  7. Hepatic amebiasis. Braz J Infect Dis 2003 Apr;7(2):96-110.
  8. Amebic liver abscess. South Med J 2004 Jul;97(7):673-682.
  9. Liver abscess in children. Indian J Pediatr 2006 Sep;73(9):813-817.
  10. ; Dooley, J. The liver in infections. In: Sherlock S, Dooley J, editors. Disease of the liver and biliary system. Oxford: Blackwell Science; 2002. p. 495-497.
  11. Typhoid fever. Unusual hepatic manifestations. Clin Pediatr (Phila) 1989 Feb;28(2):99-100.
  12. Fungal liver abscesses in acute leukaemia – a report of two cases. Clin Radiol 1988 Mar;39: 197-201.
  13. Percutaneous aspiration versus open drainage of liver abscess in children. Pediatr Surg Int 2007 Jan;23(1):69-74.
  14. Hepatic abscess. World J Surg 1991 Mar-Apr;15(2):162-169.
  15. Pyogenic liver abscess: a review of 10 years’ experience in management. Aust N Z J Surg 1999 Mar;69(3):205-209.
  16. Intrahepatic pyogenic abscesses: treatment by percutaneous drainage. Am J Surg 1985 Apr;149(4):487-494.
  17. Pyogenic liver abscess: a 7-year experience in a large community hospital. Hepatogastroenterology 1991;38(4):317-320.
  18. Pyogenic liver abscess. Diagnostic and therapeutic strategies. Ann Surg 1987 Dec;206(6):699-705.
  19. Pyogenic liver abscess: the role of surgical treatment. Int Surg 1997 Jan-Mar;82(1):98-101.
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