Pyogenic liver abscess

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Pyogenic liver abscess
A large pyogenic liver abscess presumed to be the result of appendicitis

A pyogenic liver abscess is a type of liver abscess caused by bacteria.

Signs and symptoms

Acute abscess

Chronic abscess

  • Fever
  • Abdominal discomfort
  • Enlarged liver


  • Biliary disease (most common)

E.g.: stones, cholangiocarcinoma

  • Colonic disease

E.g.: diverticulitis, appendicitis, Crohn's disease

E.g.: penetrating injury, iatrogenic (radiofrequency ablation)

Common bacterial causes



a)Day 1 showing pyogenic liver abscess b)hospital day 21 showing improved pyogenic liver abscess, after intravenous antibiotic

In terms of the management for Pyogenic liver abscess, the following is done:[citation needed]

  1. Antibiotics
  2. Percutaneous drainage under USG or CT control
  3. Laparotomy in intra-abdominal disease


External links

External resources