A Case of Liver Abscess with Subcapsular Hematoma Mimicking Ruptured Hepatic Cholangiocarcinoma.
- Author:
Chung Ho KIM
1
;
Ji Hoon KIM
;
Hyun Jung LEE
;
Young Sun LEE
;
Jong Hwan CHOI
;
Young Kul JUNG
;
Jong Eun YEON
;
Kwan Soo BYUN
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. kjhhepar@naver.com
- Publication Type:Case Report ; English Abstract
- Keywords:
Liver abscess;
Subcapsular hematoma;
Cholangiocarcinoma
- MeSH:
Angiography;
Anti-Bacterial Agents/therapeutic use;
Cholangiocarcinoma/diagnosis;
Hematoma/complications/*diagnosis/pathology;
Humans;
Liver Abscess/complications/*diagnosis/pathology;
Liver Diseases/complications/*diagnosis/pathology;
Liver Function Tests;
Male;
Middle Aged;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2009;53(3):202-205
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Subcapsular hematoma is a very rare complication of liver abscess. We report a case of liver abscess with subcapsular hematoma mimicking ruptured hepatic cholangiocarcinoma. A 59-year old man presented with right upper quadrant pain and febrile sense. Computed tomography showed a low attenuated mass with extensive subcapsular hematoma on the right hepatic lobe. The initial impression was a hematoma caused by the rupture of cholangiocarcinoma. Hepatic arteriography was performed, but no active bleeding focus was found. After drainage of the subcapsular hematoma, a hematoma wall biopsy through the drainage catheter and a liver biopsy of the low attenuated mass were performed. The biopsies showed many neutrophils, macrophages, and granulation tissues consistent with an abscess, but no malignant cells were detected. After antibiotics therapy for 6 weeks, computed tomography was performed 4 months later, and revealed complete resolution of the hematoma and the low attenuated hepatic lesion.
