A Rare SOL of the Liver: Diagnostic and Management Dilemma
Published: June 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6010
Sudeepta Kumar Swain, Tirupporur Govindaswamy Balachandar, Diwaker Sahu, Anand Ramamurthy, Prasanna Kumar Reddy
1. 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.
2. Senior Consultant, Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, India and Retired Professor, Stanley Medical College, Chennai, India.
3. Senior Registrar, Department of Surgical Gastroenterology, Apollo Hospitals, Chennai, India.
4. HOD, Department of Surgical Gastroenterology and Liver Transplant, Apollo Hospitals, Chennai, India.
5. Professor and HOD, Department of Minimal Access Surgery, Apollo Hospital, Chennai, India.
Correspondence
Dr. Sudeepta Kumar Swain,
Senior Registrar, Department of Surgical Gastroenterology, Apollo Hospitals, Greams Road,
Off Greams Lane Chennai - 600006, India.
E-mail: sudeepdadu@gmail.com.
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.
[
FULL TEXT ] | [ PDF]