Surgery Liver 2106b102 Most common cause of pyogenic liver abscess: A Aspiration B Hematogenous spread from a distant site C Direct contact D Lymphatic spread High-Yield Explanation Ans. (b) Hematogenous spread from a distant site* 1st Common route - Biliary Ascending* 2nd Common route - Portal vein route* 3rd Common route - Hepatic artery