Liver Abscess — Symptoms and Treatment
Liver abscess is an infected fluid collection in the liver, most often bacterial and rarely parasitic (e.g. amoebic). It typically presents with fever, chills, fatigue, loss of appetite, weight loss and right upper abdominal pain. Diabetes, immunosuppression and recent abdominal infections are risk factors. Diagnosis combines US, CT or MRI with blood tests. The mainstay of treatment is appropriate antibiotics with image-guided drainage; some patients require surgery.
Liver abscess is a collection of infected fluid in the liver, usually presenting with fever, chills, fatigue and right upper abdominal pain. Treatment combines antibiotics, image-guided drainage and surgery when needed. Early diagnosis prevents serious complications.
Symptoms
- Fever, chills
- Fatigue, loss of appetite
- Right upper abdominal pain
- Nausea
- Weight loss
Diagnosis
US gives the initial assessment; CT or MRI clearly shows abscess type and size. Blood tests and blood cultures guide therapy.
Treatment
Broad-spectrum antibiotics are started and the abscess is drained under image guidance. Complicated cases or failed drainage may require surgery.
Comparison table
| Condition | Symptom | Required test | Possible approach | Urgency |
|---|---|---|---|---|
| Gallstones | Pain after fatty meals, bloating | USG, blood tests | Follow-up or surgery | Depends on symptoms |
| Cholecystitis | Prolonged right upper abdominal pain, fever | USG, CRP, WBC | Urgent evaluation / surgery | High |
| CBD stones | Jaundice, dark urine | MRCP, bilirubin | ERCP ± surgery | High |
| Liver cyst | Usually asymptomatic | USG, CT/MRI | Follow-up or surgery | Low–Moderate |
| Hydatid cyst | Right upper abdominal fullness, pain | USG, CT/MRI, serology | Medication ± surgery | Moderate |
Frequently Asked Questions
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Share your existing ultrasound, MRCP, CT/MRI, blood tests or discharge summary to receive preliminary information about the process. A definitive evaluation is only possible after physical examination and the necessary investigations.
The information on this page is provided for general patient education only and does not replace diagnosis, treatment or any surgical decision. An assessment appropriate for you can only be made after a clinical examination and the necessary investigations.