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Conditions/Liver Disease/Chapter

Detailed chapter

Liver Disease — Liver Abscess

Pus collection — fever and right-upper pain

A liver abscess is a pocket of pus in the liver—pyogenic (bacterial) or amebic. Typical features: fever, right-upper-quadrant pain, and malaise. Diagnosis uses ultrasound or CT; treatment is antibiotics ± drainage or surgery.

Liver abscess · educational illustration · English labels below

Key points

  • Symptoms
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    Fever, chills, right-upper pain, poor appetite; pain may radiate to the shoulder. Inflammatory markers rise in blood tests.

  • Diagnosis
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    Ultrasound or CT shows the collection. Blood and abscess cultures guide antibiotics. Amebic disease may need serology or stool studies.

  • Treatment
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    Small abscesses may trial antibiotics alone; most need percutaneous drainage plus antibiotics. Rupture or failure may require surgery.

  • Finding the source
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    Biliary infection, intra-abdominal focus, prior procedures, or hematogenous spread are searched. Unexplained Klebsiella or Streptococcus gallolyticus may prompt evaluation for accompanying conditions.

This page is for education. It is not medical advice and does not replace a visit with your physician.

Medical editor: Assoc. Prof. Cengiz Dibekoğlu, MD · Last medically reviewed: August 2026 · English patient-education chapter.