Q. How long will it take to recover from liver abscess surgery?

Answered by
Dr. Naresh Kumar Monigari
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 21, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

I got a minor surgery for liver abscess and a drain was installed. Pus in the color of chocolate and little thick is coming out. Is it normal? How much time it will take to recover? For how many days the drain has to be installed?

Dr. Naresh Kumar Monigari

General Medicine Internal Medicine


Welcome to icliniq.com.

I had gone through all the data you have posted. We need to know some more details about your problem.

  • What was the size of abscess to which the drain was installed? How many liver abscesses were present? Any amebic serology was done?
  • What treatment you are on at present? What is the pus culture report?

Liver abscess is mainly of two types: Bacterial and amebic. From your description as chocolate like pus, it goes more in favor of amebic etiology. So, we need to keep you on tissue agents like Metronidazole, luminal agents like Diloxanide furoate and Paromomycin for elimination of ameba from the intestine. If pus culture grows bacteria or if abscesses are multiple, then we need to provide specific coverage against the organism. Depending upon the amount of pus inside, it is normal for draining of pus like that. Time to recovery depends upon the cause of amebic versus bacterial, size of the abscess and white blood cell count.

Drain needs to be continued until full drainage of the collection is done. Repeat ultrasound scan has to be performed to look for residual collection. Manipulation of the position of the drain may be needed for drainage of residual collection. Once the collection becomes dry, then the drain can be removed.

Revert back with the answers to the above questions to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

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