Liver Abscess Questions & Answers

Updated: Jun 12, 2018
  • Author: Ruben Peralta, MD, FACS; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Questions & Answers

Overview

How common is bacterial abscess of the liver, and when was it first described?

How has the mortality rate of liver abscess improved over time?

What are the types of liver abscess and how common is each?

How does the liver receive blood and how does infection occur?

How often is appendicitis the cause of liver abscess?

What causes pyogenic liver abscess (PLA)?

How do infections in organs cause liver abscess?

What percentage of liver abscesses result from fistula formation?

How common are liver abscesses due to unknown causes?

How do penetrating and nonpenetrating hepatic traumas cause liver abscess?

Which conditions are associated with secondary pyogenic liver abscess (PLA)?

Which hepatic lobe is more commonly affected by liver abscess?

Which pathogens are most commonly associated with liver abscess?

What is the role of anaerobes in the pathogenesis of liver abscess?

What causes staphylococcus aureus abscesses of the liver?

What causes amebic abscess of the liver?

Which organisms are associated with fungal abscesses of the liver?

What is the association between liver abscess and hepatocellular carcinoma?

What is the incidence of pyogenic liver abscess (PLA) in the US?

How does the prevalence of liver abscesses differ among age groups?

How does the prevalence of liver abscesses differ between men and women?

Is pyogenic liver abscess (PLA) fatal?

What are the indicators of a poor prognosis in liver abscess?

What are the indicators of a poor prognosis in amebic abscess?

How does an underlying malignant etiology affect the prognosis of liver abscess?

What are the prognostic factors for elderly patients with pyogenic liver abscess (PLA)?

Presentation

What are the most frequent symptoms of liver abscess?

What are the symptoms of solitary lesions in liver abscess?

What is the role of fever in liver abscess?

What are the clinical findings of liver abscess?

Which complications are associated with liver abscess?

DDX

What are the differential diagnoses for Liver Abscess?

Workup

Which lab studies are indicated in the workup of liver abscess?

What is the role of imaging studies in the workup of liver abscess?

What are the imaging studies of choice in the workup of liver abscess?

What are the findings on CT evaluation of liver abscess?

How is liver abscess characterized on ultrasonography?

What is the role of radionuclide scanning in the workup of liver abscess?

How is liver abscess characterized on chest X-ray?

What is the role of percutaneous needle aspiration in the workup of liver abscess?

How is percutaneous catheter drainage performed for liver abscess and what are the contraindications?

Treatment

What is the treatment for liver abscess?

What is the role of antibiotic therapy for liver abscess?

What is the role of antimicrobial treatment for liver abscess?

What is the standard of care for liver abscess?

What are the indications for and contraindications for the surgical treatment of liver abscess?

What are the surgical approaches in the treatment of liver abscess?

What is the role of laparoscopy in the surgical treatment of liver abscess?

How effective is surgery for liver abscess?

What are the postoperative complications associated with surgery for liver abscess?

Which consultations are recommended in the treatment of liver abscess?

What is the recommended long-term monitoring of liver abscess treatment?

Medications

Which antimicrobial agents are used in the treatment of liver abscess?

Which antimicrobial agent is used for the treatment of amebic abscess?

How are systemic antifungal agents used in the treatment of liver abscess?

What determines which antimicrobial agent is indicated for the treatment of liver abscess?

What is the duration of antimicrobial treatment for liver abscess?

Which medications in the drug class Antifungal agents are used in the treatment of Liver Abscess?

Which medications in the drug class Antibiotics are used in the treatment of Liver Abscess?