A Diagnostic Dilemma of Emphysematous Liver Abscess with Gas under the Diaphragm: A Case Report and Review of Literature
- PMID: 39735809
- PMCID: PMC11676019
- DOI: 10.4103/jwas.jwas_160_23
A Diagnostic Dilemma of Emphysematous Liver Abscess with Gas under the Diaphragm: A Case Report and Review of Literature
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.
Keywords: Emphysematous liver abscess; Klebsiella pneumoniae; peritonitis; pigtail drainage; pneumoperitoneum.
© 2024 Journal of The West African College of Surgeons.
Conflict of interest statement
There are no conflicts of interest.
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