A Case of Liver Abscess with Subcapsular Hematoma Mimicking Ruptured Hepatic Cholangiocarcinoma
- Authors
- 김청호; 김지훈; 이현정; 이영선; 최종환; 연종은; 변관수; 정영걸
- Issue Date
- Mar-2009
- Keywords
- Liver abscess; Subcapsular hematoma; Cholangiocarcinoma
- Citation
- 대한소화기학회지, v.53, no.3, pp 202 - 205
- Pages
- 4
- Indexed
- SCOPUS
KCI
- Journal Title
- 대한소화기학회지
- Volume
- 53
- Number
- 3
- Start Page
- 202
- End Page
- 205
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/16350
- ISSN
- 1598-9992
2233-6869
- Abstract
- 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.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.