Pyogenic Liver Abscess Secondary to Appendicitis

Abstract

A pyogenic liver abscess secondary to appendicitis infection is a rare manifestation that has not been well illustrated in the United States due to its infrequency and the variability of each clinical presentation. Here, we discuss a 55-year-old male who presented with abdominal pain, fever, chills, and weight loss and was found to have a pyogenic liver abscess suspected secondary to radiographic-proven acute appendicitis. The purpose of this article is to describe a patient who presented with noteworthy clinical features and a rare cause of hepatic abscess, to aid in the treatment and diagnosis of future patients.

Hepatic Abscess Following Acute Appendicitis

“…A rare aspect of this case is the time when the liver abscess was found. In other similar cases, the liver abscess was usually found before or during the appendicitis diagnosis [ 2 , 6 , 9 , 10 ]. In this case, however, the abscess was found a few weeks after the completed appendectomy.…”

“…Men and people over 65 are more likely to get pyogenic liver abscesses and anyone with a history of malignancy, alcoholism, diabetes, and liver transplants [ 1 ]. Pyogenic liver abscesses are often caused by some bacteria, the most common ones being E. Coli and Streptococcus milleri [ 2 ]. There are also a considerable number of cases that are culture negative, although treatment and aftermath are mostly the same.…”