Pyogenic liver abscess

Case contributed by Dr Roberto Schubert

Presentation

Fever, weight loss, night sweats.

Patient Data

Age: 30 years
Gender: Male
Ultrasound

A focal hepatic lesion is noted at the right hepatic lobe with heterogeneous hypoechoic texture averaging 5 cm. It shows irregular margins and posterior acoustic enhancement. 

CT

A focal hepatic lesion is noted in segment VI of the liver with hypodense non-enhancing necrotic core, lobulated irregular margins with a mild enhancing inner margin of the wall and perifocal edema. No other hepatic lesions or associated lymphadenopathy.

Mild hepatomegaly.

Case Discussion

Features are suggestive of right lobe hepatic abscess. CT shows double target sign, seen as a central low attenuation core surrounded by a mildly enhancing inner rim and low attenuation edema of hepatic parenchyma. 

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Case information

rID: 14294
Published: 13th Jul 2011
Last edited: 10th Feb 2020
Inclusion in quiz mode: Included

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