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Infected liver cyst

Case contributed by Paresh K Desai
Diagnosis almost certain

Presentation

Known case of polycystic kidney disease with liver cysts on regular follow up. Patient had a large 15cm cyst in the right lobe of liver. She presented with fever and abdominal pain with WBC counts of 40,000 cells per cubic mm.

Patient Data

Age: 70 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

CT reveals multiple cysts in the kidneys with cysts in the left lobe of liver. The entire right lobe of liver is replaced by a large cyst which shows an air-fluid level.

Case Discussion

This infected cyst was drained laparoscopically - yielded 2L of pus and was subsequently marsupialized.

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