Hepatic abscess

Case contributed by Dr Fernando Machado Maia

Presentation

Acute pain in the right upper quadrant and fever, but did not seek medical help for 7 days.

Patient Data

Age: 71
Gender: Male
CT

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. 

Case Discussion

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. 

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Case information

rID: 46241
Case created: 28th Jun 2016
Last edited: 3rd Jul 2016
Inclusion in quiz mode: Excluded

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