Hepatic Abscess as Early Presentation of Perforated Diverticulitis

Division

West Florida

Hospital

Medical Center of Trinity

Document Type

Case Report

Publication Date

11-1-2021

Keywords

CT, complication, hepatic abscess, perforated diverticulitis

Disciplines

Diagnosis | Digestive System Diseases | Internal Medicine

Abstract

A hepatic abscess is a rare condition which can have multiple etiologies, including biliary disease, intra-abdominal collections (appendicitis, diverticulitis, and inflammatory bowel disease), abdominal surgery, liver transplantation, and liver trauma. The diagnosis is primarily based on imaging findings of ultrasound and computed tomography scan. Management includes antibiotics and percutaneous drainage or surgical drainage of the abscess. Here, we present a case of a 43-year-old Hispanic female who initially presented with left lower quadrant and right upper quadrant abdominal pain for 1 week. She was found to have a hepatic abscess and pelvic abscess likely secondary to perforated diverticulum.

Publisher or Conference

Journal of Medical Cases

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