Hepatic abscess and hepatic vein thrombosis

Case contributed by David Cuete
Diagnosis almost certain


Septic patient. History of recent cholecystectomy

Patient Data

Age: 60 years
Gender: Male

CT abdomen and pelvis


There is a larga multiloculated hypodense lesions with peripheral enhancement. The left hepatic vein is not opacified contrast confirming the presence of a thrombus extending into the inferior vena cava. Note is also made of pneumobilia and free fluid in the abdominal cavity.

Case Discussion

Large left lobe hepatic abscess.

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