Pyogenic liver abscess natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]

Overview

Natural History

If left untreated, pyogenic liver abscess may progress to peritonitis or pleuritis secondary to rupture of the abscess cavity into peritoneal or pleural cavities and sepsis.[1]

Complications

Complications of pyogenic liver abscess include:[2]

  • Septicemia
  • Intra abdominal abscess
  • Hepatic failure
  • Renal failure
  • Recurrent liver abscess
  • Massive upper gastrointestinal bleed
  • Prolonged biliary drainage
  • Free peritonitis

References

  1. Branum GD, Tyson GS, Branum MA, Meyers WC (1990). "Hepatic abscess. Changes in etiology, diagnosis, and management". Ann Surg. 212 (6): 655–62. PMC 1358249. PMID 2256756.
  2. Malik AA, Bari SU, Rouf KA, Wani KA (2010). "Pyogenic liver abscess: Changing patterns in approach". World J Gastrointest Surg. 2 (12): 395–401. doi:10.4240/wjgs.v2.i12.395. PMC 3014521. PMID 21206721.