A Rare SOL of the Liver: Diagnostic and Management Dilemma.
Aetiology and clinical presentation of space occupying lesions (SOL) of liver are varied. It can be solid, cystic or heterogenous. Usually liver abscess presents as a symptomatic cystic SOL in a sick patient. Here, we are reporting a case of giant liver abscess presenting as simple benign cyst with corroborative image findings of simple cyst. He had significant co-morbid illness and jaundice on clinical evaluation. Liver abscess was not a differential diagnosis from clinical history. None of the haematological and biochemical parameters were suggestive of liver abscess. It was an intra-operative surprise to find such a huge liver abscess with 2 liters of pus, which was drained. We report this case because of its unusual presentation and associated findings.
Senior Registrar, Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, India and Ex Associate Professor, Department of Surgery, Mahatma Gandhi Medical College and Research Institute , Pondicherry, India .
Sudeepta Kumar
SK
Swain
Senior Consultant, Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, India and Retired Professor, Stanley Medical College , Chennai, India .
Tirupporur Govindaswamy
TG
Balachandar
Senior Registrar, Department of Surgical Gastroenterology, Apollo Hospitals , Chennai, India .
Diwaker
D
Sahu
HOD, Department of Surgical Gastroenterology and Liver Transplant, Apollo Hospitals , Chennai, India .
Anand
A
Ramamurthy
Professor and HOD, Department of Minimal Access Surgery, Apollo Hospitals , Chennai, India .
Prasanna Kumar
PK
Reddy
Cholelithiasis; Liver abscess; Simple cyst of liver