A Liver Abscess Presenting As Bowel Obstruction and Perforation

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2013 Apr 24

PMID 23608874

Authors

Jan Rusman

Affiliations

Soon will be listed here.

Abstract

A 69-year-old cachexic man presented with tachycardia and hypotension on a background of 7 days of vomiting and constipation. He was not obviously in pain. He had a raised white cell count of 24.8×10(9)/l, and a lactate of 2.2 mmol/l. A chest x-ray had the appearance of free air under the diaphragm and he was suspected of having a bowel obstruction with perforation. An abdominal CT scan showed instead a large fluid and gas-filled hepatic abscess, and a second smaller simple cyst. The abscess was percutaneously drained, and the purulent fluid drained grew Streptococcus milleri. The patient was discharged home 2 weeks later.

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