TITLE:
Liver Abscesses: What Diagnostics and Therapeutics in the Kati Reference Health Center (Mali)?
AUTHORS:
Abdoulaye Diarra, Koniba Keita, Amadou Traore, Assitan Koné, Madiassa Konate, Idrissa Tounkara, Mamadou A. Keita, Issa Traore, Modibo Togola, Fadima K. Tall, Daouda Diallo, Moustaph Issa Magane, Deborah Sanra Sanogo, Aboubacar Koné, Ibrahim Diakite, Alhassane Traore, Adégné Togo
KEYWORDS:
Abscess, Liver, Mali
JOURNAL NAME:
Surgical Science,
Vol.9 No.9,
September
28,
2018
ABSTRACT: The objectives were to determine the frequency of hepatic abscess, and to describe the clinical and para-clinical aspects and the therapeutic modalities. Method and material: This is a prospective study covering 24 months (January 2016-December 2017). Results: This was a prospective study of 30 cases of liver abscess, ranging from January 2016 to December 2017, a period of 12 months. Inclusion criteria: What were included in this study were all patients hospitalized and treated for liver abscess. Criteria for non-inclusion: Abscess cases have not been treated in the service. The sex ratio was 2.3 and the average age was 35 years old. The main clinical signs were: fever (56.7%), hepatitis (73.3%) and hepatomegaly (26.7%). Hepatic collections objected to abdominal ultrasonography were localized in the right lobe in 70%. Surgical treatment was performed in 10% of cases. Medical treatment alone was performed in the majority of cases (56.7%); eclocated puncture was required in 10 cases (33.3%). The follow-up was simple in all our patients and we did not register deaths; the average duration of treatment was 5 days. Conclusion: Topical pathology in surgical practice in our country, liver abscess is common in our department; medical treatment is curative in the absence of complications.