Background: Ruptured liver abscess can results in lethal outcome if there is delay in diagnosis and treatment. It is a surgical emergency presents with an acute abdomen. Objective: A study to determine the outcome associated with different treatment strategies of ruptured liver abscess. Material and Methods: This was a retrospective study in which 50 patients with liver abscess who were reported to general surgery department in scl hospital, ahmedabad included in the study. All patients with ruptured liver abscess included in the study and other causes of peritonitis were excluded. A perfpormed protocol for management was followed for all the patients, and various parameters contributing to the illness and its prognosis were evaluated and assessed. Results: Out of 50 patients assessed , male patients were mainly affected (86%). The most affected age group was 31–4 years (64%) followed by 41–50 years (22%). Right hypochondrium pain was the most common presenting complain. Nine patients were presented with signs of toxaemia. Escherichia coli was the most common organism in our study in 19 patients. A total of 20 patients had mortality . Conclusion: Ruptured liver abscess most commonly involved in right lobe of the liver. Males were affected more than the females due to more alcohol consumption . Most common age group falls between 30 to 60 years of age. If prompt treatment were given at time , mortality involved with it is evitable.

Keywords: Liver abscess; USG; Drainage; Rupture; Septicemia.