Infected liver cyst in a patient with polycystic kidney disease

Case contributed by Dr Paresh K Desai

Presentation

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.

Patient Data

Age: 70
Gender: Female

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Case Discussion

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.

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Case information

rID: 14083
Case created: 23rd Jun 2011
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

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