Hepatic abscess

Case contributed by Dr Vitalii Rogalskyi

Presentation

Patient with diabetes mellitus. Sudden onset of fever, then right upper quadrant pain.

Patient Data

Age: 65 years
Gender: Male
CT

CT abdomen

CT of abdomen demonstrates a fluid-density lesion within the left lobe of liver with irregular enhanced rim surrounding by outer rim of hypoattenuation (double target sign).

Simple renal cysts noted.

Case Discussion

Pus was obtained by percutaneous drainage. Culture of Klebsiella pneumoniae was grown.

Diabetic patients seem to be the most favorable to hepatic abscesses.

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Case information

rID: 66218
Published: 11th Feb 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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