Liver abscess due to appendicitis: a case report
Abstract
Pyogenic liver abscess (PLA) is a rare but serious condition that can be life-threatening. Recent developments in diagnostic techniques and treatment have resulted in earlier detection and intervention and hence reduction in mortality rates. Despite these improvements, PLA remains a clinical challenge due to its hidden symptoms and associated health risks. PLA may be caused by seeding from appendicitis. We present a 52-year-old woman presented with PLA due to appendicitis. Upon physical examination, laboratory study and imaging, an acute appendicitis with pyogenic liver abscess were found. The patient underwent percutaneous drainage of the abscesses with a catheter and an interval appendectomy.
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2. Kaplan GG, Gregson DB, Laupland KB. Population-based study of the epidemiology of and the risk factors for pyogenic liver abscess. Clin Gastroenterol Hepatol. 2004;2(11):1032-8.
3. Zibari GB, Maguire S, Aultman DF, McMillan RW, McDonald JC. Pyogenic liver abscess. Surg Infect (Larchmt). 2000;1(1):15-21.
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5. Rahimian J, Wilson T, Oram V, Holzman RS. Pyogenic liver abscess: recent trends in etiology and mortality. Clin Infect Dis. 2004;39(11):1654-9.
6. Francica G. Pyogenic liver abscess: contrast-enhanced ultrasound allows morpho-evolutive classification and guides personalized management. Explor Med. 2022;3:289–99.
7. Lin AC, Yeh DY, Hsu YH, et al. Diagnosis of pyogenic liver abscess by abdominal ultrasonography in the emergency department. Emerg Med J. 2009;26(4):273-5.
8. Wichmann D, Königsrainer A, Schweizer U, Archid R, Nadalin S, Manncke S. Pyogenic liver abscesses caused by acute appendicitis: frequency and diagnostic and therapeutic recommendations. Surgical Infections. 2021;22(3):253-7.
9. Ahmed M, Alam J, Hussain S, Aslam M. Prospective randomized comparative study of percutaneous catheter drainage and percutaneous needle aspiration in the treatment of liver abscess. ANZ J Surg. 2021;91(3):E86-E90.
10. Alvarez Pérez JA, González JJ, Baldonedo RF, et al. Clinical course, treatment, and multivariate analysis of risk factors for pyogenic liver abscess. Am J Surg. 2001;181(2):177-86.
11. Mohsen AH, Green ST, Read RC, McKendrick MW. Liver abscess in adults: ten years experience in a UK centre. QJM. 2002;95(12):797-802.
12. Su YJ, Lai YC, Lin YC, Yeh YH. Treatment and prognosis of pyogenic liver abscess. Int J Emerg Med. 2010;3(4):381-4.
13. Lee KT, Wong SR, Sheen PC. Pyogenic liver abscess: an audit of 10 years' experience and analysis of risk factors. Dig Surg. 2001;18(6):459-66.
2. Kaplan GG, Gregson DB, Laupland KB. Population-based study of the epidemiology of and the risk factors for pyogenic liver abscess. Clin Gastroenterol Hepatol. 2004;2(11):1032-8.
3. Zibari GB, Maguire S, Aultman DF, McMillan RW, McDonald JC. Pyogenic liver abscess. Surg Infect (Larchmt). 2000;1(1):15-21.
4. Meddings L, Myers RP, Hubbard J, et al. A population-based study of pyogenic liver abscesses in the United States: incidence, mortality, and temporal trends. Am J Gastroenterol. 2010;105(1):117-24.
5. Rahimian J, Wilson T, Oram V, Holzman RS. Pyogenic liver abscess: recent trends in etiology and mortality. Clin Infect Dis. 2004;39(11):1654-9.
6. Francica G. Pyogenic liver abscess: contrast-enhanced ultrasound allows morpho-evolutive classification and guides personalized management. Explor Med. 2022;3:289–99.
7. Lin AC, Yeh DY, Hsu YH, et al. Diagnosis of pyogenic liver abscess by abdominal ultrasonography in the emergency department. Emerg Med J. 2009;26(4):273-5.
8. Wichmann D, Königsrainer A, Schweizer U, Archid R, Nadalin S, Manncke S. Pyogenic liver abscesses caused by acute appendicitis: frequency and diagnostic and therapeutic recommendations. Surgical Infections. 2021;22(3):253-7.
9. Ahmed M, Alam J, Hussain S, Aslam M. Prospective randomized comparative study of percutaneous catheter drainage and percutaneous needle aspiration in the treatment of liver abscess. ANZ J Surg. 2021;91(3):E86-E90.
10. Alvarez Pérez JA, González JJ, Baldonedo RF, et al. Clinical course, treatment, and multivariate analysis of risk factors for pyogenic liver abscess. Am J Surg. 2001;181(2):177-86.
11. Mohsen AH, Green ST, Read RC, McKendrick MW. Liver abscess in adults: ten years experience in a UK centre. QJM. 2002;95(12):797-802.
12. Su YJ, Lai YC, Lin YC, Yeh YH. Treatment and prognosis of pyogenic liver abscess. Int J Emerg Med. 2010;3(4):381-4.
13. Lee KT, Wong SR, Sheen PC. Pyogenic liver abscess: an audit of 10 years' experience and analysis of risk factors. Dig Surg. 2001;18(6):459-66.
| Files | ||
| Issue | Vol 9 No 1 (2025): Winter (February) | |
| Section | Case (report / study) | |
| Keywords | ||
| Appendicitis Pyogenic Liver Abscess Percutaneous Drainage | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Garjani K, Aarabi S. Liver abscess due to appendicitis: a case report. Front Emerg Med. 2025;9(1):e9.
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