complains of a painful swelling in the epiges- trium, duration two ... tinued .for 5 days when he felt a painful lump on the ... of liver had burst inside the abdominal cairty and produced the .... low. Conjunctivae anemic. Nutrition very poor. P/R 100/24 min. Temperature 98.4F. Tongue tremulous, red, raw with ... On auscultation,.
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TROPICAL LIVER ABSCESS AFFECTING THE LEFT LOBE By BHABANI CHARAN GHOSH,
m.sc., m.b.
Teacher of Surg cry, Medical School, Burdwan
Left Lobe liver abscess is not so uncommon is usually believed. The following cases which were under my treatment in rather a
as
short
period
of time (about
a
year)
are
illus-
of the frequency of the condition. Rogers recorded that of the liver abscess cases in European hospitals, left lobe cases formed 11.9 per cent, while in the case of Indian patients in the Medical College Hospitals that
trative
18.3 per cent. Chatterjee rewas corded that out of 225 cases of liver abscess left lobe cases constituted 18.8 per cent.
incidence
In my series there
First Group.?With left lobe liver-abscess. Second
signs
Group.?With
mainly pointing ultimately found
of
were two groups
and
symptoms of
and
signs
cases.
symptoms
to left lobe liver abscess but to be
from both lobes
suffering
liver abscesses. Case No. 1 S. Santra, Hindu male, 40 years admitted to hospital on 21st January, 1950 with the
the
complains of a painful swelling trium, duration two weeks.
in the
epiges-
History of the previous illness.?For 20 days patient was having a temperature varying
the
from 101-103?F which came with chill towards the evening and subsided in the latter part of night with sweating. This type of fever continued .for 5 days when he felt a painful lump on
the
It
epigastrium.
was a
gradually
which and on
increas-
during ing pricking pain deep respiration. coughing, sneezing He had been suffering from palpitation off and on during this period. Past history.?Amoebic dysentery off and on increased
for 10 years.
Family History.?Nothing relevant. On
examination
:
(1)
General.?Decubitus
dorsal, look anxious, eyes sunken, malar bones prominent. No jundice or cyanosia. Heart and lung, N.A.D. Muddy complexion. Hair dry, scanty, brittle. P/R, 124/32. Temperature 101.2F. Tongue, coated and moist. liver, left lobe enlarged, tender. Spleen not palpable. Coecum and
ascending colon,
not
palpable
or
Plate XXVI TROPICAL LIVER ABSCESS AFFECTING THE LEFT LOBE OF LIVER (PAGE 152)
Fig. 1.?Liver scattered with abscess of different sizes sizes a. scar mark of the left lobe showing the legacy of the incision for draining of the liver abscess.
