Tropical Liver Abscess Affecting the Left Lobe

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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.

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