liver abscess
Treatment in China

Disease Introduction

Liver abscess is a purulent infectious lesion occurring within the liver. It is mainly divided into two types: bacterial (infected via the bile duct or portal vein, commonly Escherichia coli and Klebsiella pneumoniae) and amoebic. Diabetic patients are more prone to developing this condition. Typical symptoms include high fever and chills, right upper quadrant abdominal pain, and tenderness upon percussion of the liver area. The core of treatment is adequate dosage and duration of antibiotics combined with drainage of the abscess cavity. Image-guided catheter drainage has become the preferred minimally invasive approach.

Cutting-edge high-precision diagnostic and treatment technologies

1. Image-guided catheter drainage : Percutaneous aspiration of pus and placement of a drainage tube under ultrasound or CT guidance has become the preferred treatment for bacterial liver abscess;
2. Irrigation and drainage of the abscess cavity : After catheter placement, continuous drainage and irrigation of the abscess cavity are carried out, and medication is guided by bacterial culture and drug sensitivity testing;
3. Full course of antibiotic treatment : For bacterial liver abscess, cephalosporins, piperacillin, tazobactam, etc. are selected according to drug sensitivity, and the course of treatment is usually 4 to 6 weeks to prevent recurrence;
4. Metronidazole is the first-line treatment for amebic liver abscess: Metronidazole and Tinidazole are the first-line drugs for amebic liver abscess, and only a few patients require drainage;
5. Clear indications for surgical drainage : Laparoscopic or open incision and drainage should be performed when puncture fails, the abscess is in a dangerous location or is about to rupture.