Hepatic abscess

Case contributed by Dr Sameh Saied Ali


Abdominal pain, fever and right hypochondrial swelling

Patient Data

Age: 4 months
Gender: Female

Well defined hypodense lesion with marginal contrast enhancement giving target sign is seen at segment IV. Exophytic marginally enhancing multilocular cystic component is seen projecting beneath the anterior abdominal wall in the right hypochondrial region and causing focal bulge of the abdominal contour.

Case Discussion

A full-term child with no history of umbilical vein catheterization, presented with abdominal pain and focal right hypochondrial swelling with a high-grade fever. Ultrasound has been done initially and showed ill-defined hypoechoic area in the left lobe. CT has been conducted three days later and showed left hepatic lobe lesion with target appearance coupled with extra-hepatic multi-locular cystic lesion and minimal free intra-peritoneal fluid.    

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