Hepatic Abscess Secondary to Appendiceal Phlegmon an Unusual Complication of Appendiceal Phlegmon

Authors: Luraschi Centurión VR, Miranda Vergara RM, Ruiz Diaz MA and Kim R*

DOI: 10.23880/ijsst-16000225

Volume 8, Issue 2

Abstract

Liver Abscess is a focal supportive process, encapsulated collection filled with pus, infrequent, with moderate mortality of approx. 2-12% according to the literature. The pathogens responsible mainly belong to two groups, bacteria and parasites (Entamoeba Histolytica), and give rise to two types of liver abscesses, pyogenic and amoebic, respectively. The most common causes are abdominal infections, such as acute appendicitis, diverticulitis, inflammatory bowel disease, etc., or systemic infections such as bacterial endocarditis or manipulation of the biliary tract. A pyogenic liver abscess secondary to appendiceal plastron infection is a rare manifestation that has not been well illustrated in the literature. We analyzed a 65-year-old male patient who presented abdominal pain more than 2weeks with a palpable tumor in the right iliac fossa, fever, chills, diarrhea and weight loss and was found to have a pyogenic liver abscess that was suspected to be secondary to an abscessed tumor in the right colon, which turned out to be secondary to Appendicular Plastron. The purpose of this article is to describe a patient who presented notable clinical features and a rare cause of liver abscess, to assist in the diagnosis and treatment of future patients.

Keywords: Liver Abscess; Right Iliac Fossa; Abdominal Pain; Appendicular Plastron; Pyogenic Liver Abscess

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