A Diagnostic Dilemma of Emphysematous Liver Abscess with Gas under the Diaphragm: A Case Report and Review of Literature-Reference-Cited by-同舟云学术

A Diagnostic Dilemma of Emphysematous Liver Abscess with Gas under the Diaphragm: A Case Report and Review of Literature

Published:2024-08-02 Issue: Volume: Page:
ISSN:2276-6944
Container-title:Journal of West African College of Surgeons
language:en
Short-container-title:J West Afr Coll Surg

Author:

Roy Shubhajeet¹,Singh Gitika Nanda²,Gupta Deepak²,Suryavanshi Parijat²

Affiliation:

1. Faculty of Medical Sciences, King George’s Medical University, Lucknow, Uttar Pradesh, India

2. Department of Surgery (General), King George’s Medical University, Lucknow, Uttar Pradesh, India

Abstract

Abstract A 53-year-old woman presented to the surgical emergency with complaints of high-grade fever accompanied by chills for 15 days and pain in the right upper abdomen for 10 days. X-ray of the abdomen and chest X-ray revealed free gas under the right hemidiaphragm. As there were no signs of generalised or localised peritonitis, emergency laparotomy was postponed. Subsequently, a contrast-enhanced computerised tomography scan of the abdomen suggested an emphysematous liver abscess, which was managed by ultrasonography-guided drainage of the abscess cavity.

Publisher

Medknow

Reference16 articles.

1. Pyogenic liver abscess in the aged;Smith;Am J Surg,1944

2. Emphysematous liver abscesses complicated by septic pulmonary emboli in patients with diabetes: Two cases;Hagiya;Intern Med,2013

3. Clinical significance and mechanism of gas formation of pyogenic liver abscess due to Klebsiella pneumoniae;Lee;J Clin Microbiol,2004

4. Clinical features of gas-forming liver abscesses: Comparison between diabetic and nondiabetic patients;Lee;Korean J Hepatol,2010

5. The comparison of clinical course and results of treatment between gas-forming and non-gas-forming pyogenic liver abscess;Chou;Arch Surg,1995