Pyogenic liver abscesses are uncommon that presents diagnostic as well as therapeutic challenges, if left untreated proved as a fatal.its more common in 4 to 6th decade of life and more common in males and in immunocompromised patients. Causes for pyogenic liver abscess are 1.billiary diseases 20 to 30% of cases,extrahepatic billiary obstruction leads to ascending cholingitis and abscess formation and after billiary-enteric anastomosis. 2.portal pyaemia still its counts for 20% of cases,after liberal use of antibiotics,chances through this route on decreasing trend.
3.hematogenous route infection by blood route reached from bacterial endocarditis ,intravenous drug abusers. 4.traumatic penetrating injuries or iatrogenic injuries sign and symptoms abdominal pain 80 to 100% of cases in upper abdomen and radiates to right shoulder,fever with chills and rigors,anorexia,weight loss and…
