Solitary hepatic abscess

Case contributed by Dr Shailaja Muniraju

Presentation

Right upper quadrant pain. Fever with chills.

Patient Data

Age: 30 years
Gender: Male
CT

Liver is mildly enlarged in size with segmental perfusion defect in the arterial phase.

There is an ill defined cystic lesion noted in the segment VI and VII of right lobe of liver.

Internal hypoattenuating contents with thick walls noted.

The innermost wall of the lesion shows early contrast enhancement with persistence on delayed imaging.

There is significant perilesional oedema.

No intralesional solid focus / air fluid level seen.

No other similar lesions identified elsewhere in the liver.

Ileocaecal junction – terminal ileum thickening with minimal free fluid in pelvis. 

Case Discussion

In the context of fever and chills, the finding of a thick walled cystic lesion in the liver is suggestive of an abscess.

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Case information

rID: 50736
Case created: 19th Jan 2017
Last edited: 24th Feb 2017
Inclusion in quiz mode: Included

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