Observational Study
Copyright ©The Author(s) 2017.
World J Hepatol. Jan 18, 2017; 9(2): 114-118
Published online Jan 18, 2017. doi: 10.4254/wjh.v9.i2.114
Table 1 Clinical debut, analysis, diagnostic methods, surgery, morbidity and follow-up of our cases
Case 1Case 2Case 3
Age (yr)807555
ClinicFever, dyspnoea and malaise last 15 d duration Poor general conditionFever and malaise for several days Poor general conditionHigh fever (> 39 °C) accompanied by discomfort in right hypochondrium Poor general condition
Analytics18610 leukocytes, 90.8% neutrophils, Hgb 8.4 g/dL INR 1.13, Cr 0.75 mg/dL, GGT 433 U/L, AST 35 U/L24610 leukocytes (95% neutrophils), Hgb 10.9 g/dL, INR 1.24, Cr 1.56 mg/dL, PCR 315 mg/L, GGT 70 U/L and AST 47 U/L18666 leukocytes, 84.8% neutrophils, Hgb 10.6 g/dL, INR 1.14, PCR 19.4 mg/dL, GGT 270 U/L, AST 379 U/L
Radiography/ultrasoundA right liver lesion with calcified wall and echoes inside, probably detritus, compatible with LHA-An abdominal mass with fluid level in right hypocondrium was seen
Abdominal CTAn abdominal mass with fluid level in right hypochondriumA 12 cm abscess in the liver compatible with LHAAn 11.5 cm liver mass located in segments VI and VII with fluid level, communicating with bile duct and causing inferior vena cava compression
Size13 cm12 cm11.5 cm
CultureKlebsiella pneumoniaeStreptococcus viridansStreptococcus salivarius
Time from pair to surgery16 d12 d15 d
SurgerySubtotal cystectomy cholecystectomy, bile duct exploration, closure of small cystobiliary communications and omentoplastySubtotal cystectomy, cholecystectomy and bile duct clearanceSubtotal cystectomy and bile duct clearance
MorbidityAtelectasis and pleural effusion, fungaemia (Candida Albicans) and transfusionNoRed blood cell transfusion
Postsurgical stay34 d5 d4 d
Total stay50 d17 d19 d
Follow-upNo recurrenceNo recurrenceNo recurrence
14 mo6 yr2.5 yr