Infected liver cyst in a patient with polycystic kidney disease
Known case of polycystic kidney disease with liver cysts on regular follow up. Patient had a large 15cm cyst in the right lobe of liver. She presented with fever and abdominal pain with WBC counts of 40,000 cells per cubic mm.
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CT reveals multiple cysts in the kidneys with cysts in the left lobe of liver. The entire right lobe of liver is replaced by a large cyst which shows an air-fluid level.
This infected cyst was drained laparoscopically - yielded 2L of pus and was subsequently marsupialised.