Prospective Observational Study for the Management of Amoebic Liver Abscess

Introduction: Amoebic liver abscess (ALA) is a potentially life-threatening condition caused by Entamoeba histolytica. While clinical symptoms like fever and abdominal pain are common to both ALA and pyogenic liver abscess (PLA), diagnosis and management strategies differ. ALA continues to be a signicant health burden, particularly in developing regions where sanitation is poor and healthcare access is limited. Aim & Objective: To study the management of amoebic liver abscess, assess treatment outcomes, and identify common complications associated with different therapeutic strategies. A prospective observational study was conducted in the Department o Methodology: f General Surgery at SGT Medical College, Gurugram, over 18 months. Eighty patients diagnosed with ALA were included. Based on abscess size, patients were categorized and managed with oral/intravenous metronidazole, ultrasound-guided aspiration, or pigtail catheter drainage. Clinical, laboratory, and radiological data were collected, and follow-up was done over three months. Most participants were aged 21–40 year Result: s (55%) and predominantly male (72.5%). Mean hospital stay was 14.22 days, and ICU stay averaged 4.62 days. Sepsis (81.3%), peritonitis (61.3%), and pleural effusion (58.8%) were the most common complications. ALA primarily affects young males and carries a high risk of seve Conclusion: re complications. Timely diagnosis and stratied treatment signicantly improve clinical outcomes.