Korean J Gastroenterol.  2001 Dec;38(6):449-452.

A Case of Pyogenic Liver Abscess with Spontaneous Subcapsular Hemorrhage

• Jung DY
• Lee SJ
• Lee MH
• Choi DY
• Park SK
• Yoon HS
• Kim KY
• Han HY
• Kang DW

Abstract

Pyogenic liver abscess is a serious clinical problem, which gives rise to complication in 30-50% of the cases. Spontaneous subcapsular hemorrhage is a rare complication associated with liver abscess. A 30-year-old woman was admitted with right upper quadrant abdominal pain, febrile sensation, and myalgia for 3 days. A septated 6 X 6 mg sized ill-defined round and low-density lesion with hematoma was observed in subcapsular area of both hepatic lobe. Hepatic arteriography showed stretching of the branches of the right hepatic artery without extravasation of the contrast material. Ultrasono-guided percutaneous transhepatic aspiration was performed for subcapsular hematoma. The aspirates had blood count of WBC 58,500/mm(3), hemoglobin of 7.8 g/dL, and platelet of 20,000/mm(3). The aspirates of low density lesion was pus, in which Klebsiella pneumoniae was isolated. Liver biopsy was performed around the abscess and there was no evidence of hepatic neoplasia. After treatment of antibiotics for six weeks and percutaneous transhepatic drainage, she recovered completely. We report a rare case of pyogenic liver abscess complicated with spontaneous subcapsular hemorrhage.

MeSH Terms

Abdominal Pain
Abscess
Adult
Angiography
Anti-Bacterial Agents
Biopsy
Blood Platelets
Drainage
Female
Hematoma
Hemorrhage*
Hepatic Artery
Humans
Klebsiella pneumoniae
Liver
Liver Abscess
Liver Abscess, Pyogenic*
Myalgia
Sensation
Suppuration
Anti-Bacterial Agents