The Comparison between the Efficacy of Conservative Management and Ultrasound Guided Pigtail Catheter Drainage of Uncomplicated Amoebic Liver Abscess

Abstract

Background: Fever and pain in the upper right quadrant of the body almost often indicate a liver abscess. A lot of people in the tropics become sick from it. An abscess in the liver can be caused by either amoeba or bacteria, and these two types are known as pyogenic and amoebic, respectively. Objective: To compare the efficacy of conservative management and ultrasound guided pigtail drainage of amoebic liver abscess. Study Design: This study used retrospective analytical design. Settings: The study was carried out at Shaikh Zayed Hospital, Lahore. Duration: Twelve months from July 2020 to July 2021. Methods: Total 40 patients were split into two research groups conservative management & pigtail catheter drainage group. Patients with simple cases of ALA were sought for participation. Pharmaceutical treatment was the first line of defense for all patients for the first 72 hours. The patients were chosen using a method of convenient allocation. Estimation of the sample size was also performed conveniently. Results: There were 38 men (95%) and 2 women (5%), in all. There were 20 males in group 2 and 18 males in group 1 of the study group. Patients admitted to the hospital for the study reported an average VAS of pain of 6.02 ±2.75. At 72 hours, the mean visual analogue scale (VAS) score for pain in the study population was 1.68 2.786. There was a statistically significant difference [P<0.001] of 4.35 on the VAS between admission and 72 hours. Conclusion: The results of our study show that draining an Amoebic liver abscess using a pigtail catheter is more effective than conservative treatment for the resolution of a single, uncomplicated liver abscess in the right lobe, in patients whose abscess measured between 6.0 and 10.0 centimeters in size.