A middle aged male with Large Liver Abscesses

Question

A male aged 45 years p/w

*Chief Complaints*
Pain RUQ 
High Grade Fever
Anorexia
Vomiting (x 15 days)

*History*
Chronic Alcoholic

*Vitals*
BP- 106/66 mmHg
PR- 102/min

*Investigations*
CECT W/A

Mansukh Shah · Answer

Cystic lesion in liver
Cbc leucocytosis tenderness in rt  lower chest confirmed liver abscess 
Capillary drainge
Or repeated aspirations of abscess using usg
Chloroquine metrogyl ciplox

M R Chhipa · Answer

Cect thorex shows hypoechoeic shadow in liver.most likely amoebic liver abcess.
Aspirate pus from liver abcess and examine pus culture and senstivity and for amoebic trpozoites and cyst.also examine stool for amoeba.
Rx-Tab metrogyl 800mg 1×3
Tab chloroquine 250mg 1bd
Tab becomplex 10d.
Tab dilaxanide furoate (luminal amoebacide) 1×3 for 15days to 1month.

Ajit Jangbahadur · Answer

Appears to be liver abscess
Initially conservative t/t with antibiotics, metronidazole etc
Rule out hepatocellular malignancy by asking for alphafetoprotein and CEA estimates ,FNAC
Surgical intervention like Repeated Aspiration, pig tail catheter drainage may be reqd
Rupture of liver abscess may require laprotomy or laparoscopic intervention

Azam Mohd · Answer

Hypoechoic masses in liver

A middle aged male with Large Liver Abscesses

Agree

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1

Thank you doctor

Agree

Disagree

1

Thank you doctor

Agree

Disagree

1

Thank you doctor

Agree

Disagree

1

Thank you doctor

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