A case of liver abscess with subcapsular hematoma mimicking ruptured hepatic cholangiocarcinoma

Chung Ho Kim, Ji Hoon Kim, Hyun Jung Lee, Young Sun Lee, Jong Hwan Choi, Young Kul Jung, Jong Eun Yeon, Kwan Soo Byun

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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.

Original languageEnglish
Pages (from-to)202-205
Number of pages4
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume53
Issue number3
Publication statusPublished - 2009 Mar

ASJC Scopus subject areas

  • Medicine(all)

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    Kim, C. H., Kim, J. H., Lee, H. J., Lee, Y. S., Choi, J. H., Jung, Y. K., Yeon, J. E., & Byun, K. S. (2009). A case of liver abscess with subcapsular hematoma mimicking ruptured hepatic cholangiocarcinoma. The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, 53(3), 202-205.