RT Journal Article
SR Electronic
T1 Hepatic cyst infection in a healthy older male
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr0420114136
DO 10.1136/bcr.04.2011.4136
VO 2012
A1 Mori, Eiichiro
A1 Akai, Yasuhiro
A1 Matsumoto, Takaki
A1 Kawaratani, Hideto
A1 Horii, Manabu
A1 Iwano, Masayuki
A1 Uemura, Shiro
A1 Nonomura, Akitaka
A1 Fukui, Hiroshi
A1 Saito, Yoshihiko
YR 2012
UL http://casereports.bmj.com/content/2012/bcr.04.2011.4136.abstract
AB Simple hepatic cysts are usually asymptomatic and are not associated with impaired hepatic function. However, complications, such as obstructive jaundice, rupture, intracystic haemorrhage and infection, can occur. The authors describe the case of a 82-year-old man with fever and elevated C-reactive protein. A repeat contrast-enhanced abdominal CT scan revealed enlargement with peripheral enhancement in the left lateral segment of the liver. A diagnosis of infected hepatic cyst was made, and percutaneous transhepatic drainage of the cyst was performed. When a patient has liver cysts and high-grade fever, liver cysts should be considered as a focus of infection. Repetition of ultrasonography and/or CT studies should be considered, even if no typical findings are obtained initially. It is of note that conventional Ga-scintigraphy may be useful for the detection of infected site.