A Diagnostic Dilemma of Emphysematous Liver Abscess with Gas under the Diaphragm: A Case Report and Review of Literature.

Shubhajeet Roy, Gitika Nanda Singh, Deepak Gupta, Parijat Suryavanshi
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Abstract

A 53-year-old woman presented to the surgical emergency with complaints of high-grade fever accompanied by chills for 15 days and pain in the right upper abdomen for 10 days. X-ray of the abdomen and chest X-ray revealed free gas under the right hemidiaphragm. As there were no signs of generalised or localised peritonitis, emergency laparotomy was postponed. Subsequently, a contrast-enhanced computerised tomography scan of the abdomen suggested an emphysematous liver abscess, which was managed by ultrasonography-guided drainage of the abscess cavity.

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一名 53 岁的妇女因高烧伴寒战 15 天、右上腹疼痛 10 天前来外科急诊就诊。腹部 X 光片和胸部 X 光片显示右半膈下有游离气体。由于没有全身或局部腹膜炎的迹象,急诊开腹手术被推迟。随后,腹部造影剂增强计算机断层扫描显示该患者患有气肿性肝脓肿,在超声波引导下对脓腔进行了引流。
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