All are indications for surgical intervention in pyogenic liver abscess, EXCEPT:: (A) Multiple large or loculated absecc, (B) Thick walled abscess with loculated pus, (C) Concurrent intraabdominal surgical pathology, (D) Right lobe abscess
Answer is D. Indications for surgical drainage in pyogenic liver abscess are: No clinical response after 4-7 days of drainage a catheter Multiple, large, or loculated abscess Thick walled abscess with viscous pus Concurrent intra-abdominal surgical pathology. Right lobe abscess as such is not an indication for surgical drainage to rupture into the pericardium, which is lethal. Ref: Heneghan et al. BMC Research Notes 2011, 4:80.