Pyogenic liver abscess with two normal ultrasound scans.

Pyogenic liver abscess with two normal ultrasound scans.

I report a case of a large liver abscess causing a severe debilitating condition in which the diagnosis was delayed by several weeks following two normal ultrasound scans at days 5 and 19 of the illness. Up to one in four cases of liver abscess can be missed on ultrasound. A high degree of clinical suspicion must be maintained and repeated or alternative imaging methods used if the diagnosis of...

PYOGENIC LIVER ABSCESS: REVIEW OF 54 CASES

Background: Historically open surgical drainage has been the treatment of choice for pyogenic liver abscess. The records of 54 patients with pyogenic liver abscess were reviewed to determine whether earlier diagnosis with current imaging tests and definitive treatment with antibiotics and aspiration drainage was an effective alternative to surgery. Methods: The clinical features, laborator...

Pyogenic Liver Abscess.

On examination, she was febrile, toxic and was complaining of pain in the shoulder joint. The examination of the shoulder joint was normal. Liver was enlarged 5 cm below the right costal margin and was tender. She did not have intercostal tenderness. The white cell count showed a neutrophil leucocytosis with a total count of 16.8 x 10 9 /L. Ultra sound scan of the abdomen revealed a large absce...

Solitary Pyogenic Liver Abscess.

[Pyogenic liver abscess].

At the turn of the century, the mortality from liver abscess was 100%. Surgical drainage reduced the mortality to 50 to 75% by 1930. Antibiotics led to a further reduction but there was little change in the mortality during the next 25 years until recently when the adoption of special localization techniques promised a great improvement. In the nineteenth century a common cause of liver abscess...