Acute pain in the right upper quadrant and fever, but did not seek medical help for 7 days.
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CT scan without intravenous contrast was performed because of has increased creatinine.
Heterogeneous hypodense collection with fluid and gas in liver with gallbladder wall thickening and intraluminal gas.
This case shows an hepatic abscess as a complication of acute cholecystitis. The patient initially presented with acute pain in the right upper quadrant and fever, but didn´t seek medical help for 7 days.
There are three common complications of acute cholecystitis: emphysematous cholecystitis, hemorrhagic cholecystitis and pericholecystic abscess.
Due to the age and the clinical status of this patient, CT guided percutaneous drainage tomography was performed, with intravenous antibiotics as well. When the patient had improved clinically, cholecystectomy was performed.
- Gene d Branum et al. Hepatic Abscess. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1358249/pdf/annsurg00166-0011.pdf
- Bakalakos, Efthimios A. et al. Liver Abscess Secondary to Intrahepatic Perforation of the Gallbladder, Presenting as a Liver Mass.http://web.b.ebscohost.com/abstract?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=00029270&AN=16074331&h=36H7EeJ%2fTRzh7U9CNL6Bx6GM4GgHHIGNR0umLNFAm7nbZjR6T%2bDN9qTSesS1NYMFjAh7yFSWGfls6y7B9c5cTQ%3d%3d&crl=c&resultNs=AdminWebAuth&resultLocal=ErrCrlNotAuth&crlhashurl=login.aspx%3fdirect%3dtrue%26profile%3dehost%26scope%3dsite%26authtype%3dcrawler%26jrnl%3d00029270%26AN%3d16074331