Liver abscess

Case contributed by Dr Simon Ahmadpour

Presentation

A ship worker flown from ship with 12/7 fevers, jaundice, mild RUQ pain, constitutional symptoms.

Patient Data

Age: 35 years
Gender: Male
CT

CT Abdomen + Pelvis

Large complex multiloculated cystic structure is seen in segments VI and VII of the liver with large periportal lymph nodes. Small right-sided pleural effusion is seen.

DDx Amoebic or bacterial liver abscess.

Case Discussion

A percutaneous drain was inserted under CT guidance by local radiology team. Aspirate cultured Klebsiella Pneumonia, consistent with primary bacterial abscess

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Case information

rID: 75646
Published: 4th Apr 2020
Last edited: 4th Apr 2020
Inclusion in quiz mode: Excluded
Institution: Mackay Base Hospital

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