Pathology: Commonest sites are bowel and biliary systems
Common bacteria are Staphylococcus Aureus, Streptococcus Pyogenes, Streptococcus Milleri (associated with bowel carcinoma) and Escherichia coli
Aetiology: Usually a result of haematological spread of a bacterial infection
Symptoms: Fever, right upper quadrant pain, rigors,
Signs: Right upper quadrant tenderness, hepatomegaly, jaundice, fever, signs of sepsis
Investigations: Bloods: ↑WCC,↑CRP LFT: ↑ALT, ↑ALP, bilirubin can be ↑, Blood cultures
Microbiology: Aspiration of abscess
Imaging: Ultrasound or CT Abdomen to locate underlying cause
Treatment: Medical: Antibiotics
Surgical: Drainage of abscess
Complications: Liver Sepsis, empyema, peritonitis
Prognosis: Poor prognosis due to potential complications of liver sepsis
