Liver abscess secondary to appendiceal phlegmon

Case contributed by Jorge Gomez Constain , 1 Jan 2016
Diagnosis certain
Changed by Jorge Gomez Constain, 2 Jan 2016
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Case Attributes

Status changed from draft to pending review.
Diagnostic Certainty was set to .
Body was changed:

18 year old man whit 7 days of fever, urinary symptoms, abdominal pain and jaundice.

Initially medicated whit oral antibiotics for urinary infection with not improve.

Initially US show an hypoecogenic lesion in right hepatic lobe and free fluid in the pelvis.

CT scan show that lesion is enhanced with contrast and is suggestive of an hepatic abscess.

Ct san also shows an appendicolith and signs of appendicular plastron.

Percutaneous drainage was performed and the diagnosis was confirmed.

Not surgery was necessary for the appendicular phlegmon.

  • -<p>18 year old man whit 7 days of fever, urinary symptoms, abdominal pain and jaundice.</p><p>Initially medicated whit oral antibiotics for urinary infection with not improve.</p><p>Initially US show an hypoecogenic lesion in right hepatic lobe and free fluid in the pelvis.</p><p>CT scan show that lesion is enhanced with contrast and is suggestive of an hepatic abscess.</p><p>Ct san also shows an appendicolith and signs of appendicular plastron.</p><p>Percutaneous drainage was performed and the diagnosis was confirmed.</p>
  • +<p>18 year old man whit 7 days of fever, urinary symptoms, abdominal pain and jaundice.</p><p>Initially medicated whit oral antibiotics for urinary infection with not improve.</p><p>Initially US show an hypoecogenic lesion in right hepatic lobe and free fluid in the pelvis.</p><p>CT scan show that lesion is enhanced with contrast and is suggestive of an hepatic abscess.</p><p>Ct san also shows an appendicolith and signs of appendicular plastron.</p><p>Percutaneous drainage was performed and the diagnosis was confirmed.</p><p>Not surgery was necessary for the appendicular phlegmon.</p>

Updates to Study Attributes

Modality was set to Photo.
Caption was added:
CT scan guided Punction and drainage
Findings was added:

Pigtail catheter is placed inside the liver abscess with guided CT scan.

Purulent material was obtained.

Images Changes:

Image Photo ( update )

Description was added:
150ml of purulent material was obtained

Image 1 Photo ( create )

Updates to Study Attributes

Modality was set to CT.
Caption was added:
Punction CT scan guided
Findings was added:

3 days later CT scan shows a gas level  abscess and the  percutaneous Pigtail catheter inside the lesion.

Images Changes:

Image CT (non-contrast) ( update )

Perspective was set to Axial.
Specifics was set to non-contrast.

Image 1 CT (non-contrast) ( create )

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