Hepatic abscess

Case contributed by Dr Bruno Di Muzio

Presentation

Fevers, rigors, sweats, with no infectious focus identified. Generalised abdominal pain.

Patient Data

Age: 78-year-old
Gender: Male
CT

CT Abdomen and pelvis

Large hypodense liver mass centered in segments VII and VI, showing heterogeneous attenuation due to wispy central enhancement that may represent irregular septa. A tiny isolated gas locule is seen within the lesion. The lesion has slightly irregular margins. The remainder liver parenchyma is unremarkable. Portal vein and hepatic veins are patent, although the right portal vein opacifies poorly. Cholecystectomy. Small amount of free fluid in the pelvis. 

Ultrasound

Ultrasound-guided hepatic drainage

Ultrasound confirmed the hepatic abscess and was used to guide the insertion of a pig-tail catheter. 

Case Discussion

Drained pyogenic abscess of the liver

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Case information

rID: 46757
Case created: 15th Jul 2016
Last edited: 14th Aug 2016
Tag: rmh
Inclusion in quiz mode: Included

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