BACKGROUND AND PURPOSE: Commensurate with the advances in diagnostic and therapeutic radiology in the past two decades, percutaneous needle aspiration and catheter drainage have replaced open operation as the first choice of treatment for both single and multiple pyogenic liver abscesses. Our study has been done in context of laparotomy as the treatment of pyogenic liver abscess due to underlying hepatobiliary pathology or after failure of non-operative management. CONCLUSION: Laparotomy is advocated as primary treatment for PLA especially when the initial presentation is intraperitoneal rupture or possibly in cases of hepatobiliary pathology causing multiple abscesses above an obstructed duct system these patients had these indications. Diabetes is a strong,potentially modifiable risk factor for pyogenic liver abscess.
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