[A case of liver abscess with subcapsular hematoma mimicking ruptured hepatic cholangiocarcinoma].
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.
Kim
Chung Ho
CH
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
Kim
Ji Hoon
JH
Lee
Hyun Jung
HJ
Lee
Young Sun
YS
Choi
Jong Hwan
JH
Jung
Young Kul
YK
Yeon
Jong Eun
JE
Byun
Kwan Soo
KS
D000792:Angiography; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018281:Cholangiocarcinoma / Q000175:diagnosis; D006406:Hematoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008100:Liver Abscess / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008107:Liver Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents