I had recently operated one case of rupture liver abscess with pyoperitoneum. As per the ultrasound report, there are multiple abscesses. During operation, the abscess was present just lateral to GB on the lower & inferior surface. It was a big abscess with a lot of purulent collection intraperitoneally which was also had bilious tinge. There was only one abscess. There was no evidence of GB or duodenal perforation.
When I tried to see the abscess cavity, pt had bleeding. So considering the poor condition of a patient, I closed it after peritoneal toileting and putting a drain in subhepatic space. Now the patient had recovered. His breathing pattern had improved but about 500_ 600 cc bile is coming from drain from day first. Now 5th post op day and patient is tolerating oral to semisolid diet. What to do next?
