title: Presentation and management of pyogenic liver abscess in a 23-week pregnant woman.
abstract: Pyogenic liver abscess during pregnancy is an extremely rare condition. We report a case of 33-year-old, 23-week pregnant woman with pyogenic liver abscess. She was still in the hospital for medical observation of fever, when a sudden episode of tachycardia with a pulse of 210 beats per minute and tachypnea with a respiratory rate of 30 breaths per minute was encountered. At that moment, her fever was 39.6°C (103.28 Fahrenheit). The abdominal ultrasound stated a calcific echogenic mass with a measure of 6 cm in the liver region. Given the sonographic characteristics noted, a liver abscess was suspected. Our case was successfully treated with an ultrasound guided percutaneous aspiration of the abscess and a wide spectrum antibiotic. At 38 weeks of gestation, an elective cesarean delivery was performed. The female neonate weighed 3200 g with APGAR scores of 9 and 9 at the first and fifth minutes, respectively.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Dumlupinar University, 43100 Kutahya, Turkey.
authors.forename: Beril
authors.initials: B
authors.lastname: Yüksel
authors.forename: Ali
authors.initials: A
authors.lastname: Seven
authors.forename: Suna
authors.initials: S
authors.lastname: Kucur
authors.forename: Ilay
authors.initials: I
authors.lastname: Gözükara
authors.forename: Nadi
authors.initials: N
authors.lastname: Keskin