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Hepatic cyst infection in a healthy older male

2012; BMJ; Volume: 2012; Issue: mar20 1 Linguagem: Inglês

10.1136/bcr.04.2011.4136

1757-790X

Eiichiro Mori, Yasuhiro Akai, Takeshi Matsumoto, Hideto Kawaratani, Masahiro Horii, Masayuki Iwano, Shiro Uemura, Akitaka Nonomura, Hiroshi Fukui, Yoshihiko Saito,

Urological Disorders and Treatments

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.