Hepatic abscess related to acute cholecystitis

Case contributed by Dr Bruno Di Muzio

Presentation

Pain in the right upper quadrant for five days. Fever and malaise for 3 days.

Patient Data

Age: 77
Gender: Male

CT Abdomen and pelvis

Modality: CT

 Low-attenuation lesion in the liver adjacent to the gallbladder with subtle peripheral enhancement.

Modality: Annotated image

Arrows showing: Low-attenuation lesion in the liver adjacent to the gallbladder with subtle peripheral enhancement; Biliary tract dilatation; Discontinuity of the gallbladder wall in continuity with the area of liver abscess.

Case Discussion

Acute cholecystitis refers to the acute inflammation of the gallbladder. It is the primary complication of cholelithiasis and the most common cause of acute pain in the right upper quadrant .

The main complications of acute cholecystitis include the following1:

At surgery the diagnosis of cholecystitis with perforation and an intrahepatic abscess was confirmed.

PlayAdd to Share

Case Information

rID: 20572
Case created: 26th Nov 2012
Last edited: 9th Sep 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.