Table 2.
Clinical presentation | Characteristics of hepatic abscess | Management details | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Case | Gender | Age | Predominant symptoms | Duration | Site (Lobe) | Number | Size (cm) | Likely etiology | Drain | Surgery |
1 | Male | 61 | Fever, epigastric pain, anorexia/malaise | 5 days | Right | Single | 7 | Portal vein sepsis* | Yes | Yes |
2 | Male | 72 | Fever, rigors | 11 days | Left | Single | 4 | Portal vein sepsis* | Yes | No |
3 | Male | 75 | Fever, myalgia, pleuritic lower right chest pain | 10 days | Right | Single | 6 | Portal vein sepsis* | Yes | No |
4 | Female | 78 | Fever, anorexia/malaise | 2 weeks | Right | Single | 10 | Other^ | Yes | No |
5 | Male | 85 | Anorexia/malaise | 4 weeks | Right | Single | 4 | Other^ | No | No |
6 | Female | 56 | RUQ pain, nausea | 6 weeks | Right | Single | 6 | Biliary tract sepsis | Yes | No |
7 | Female | 16 | Fever, RUQ pain, jaundice | 5 days | Right | Single | 12 | Actinomycosis | Yes | Yes |
8 | Female | 53 | RUQ pain | 5 days | Left | Single | 7 | Biliary tract sepsis | Yes | No |
9 | Male | 33 | Fever, jaundice, dark urine | 3 days | Right | Multiple | 11 | Biliary tract sepsis | Yes | No |
10 | Male | 64 | RUQ pain, jaundice | 7 days | Right | Single | 5 | Biliary tract sepsis | Yes | No |
11 | Female | 70 | Fever, RUQ pain | 5 days | Right | Single | 10 | Biliary tract sepsis | Yes | No |
* Portal vein sepsis; secondary to gastrointestinal sources of infection, including diverticulitis and appendicitis
^ Other causes include: hematogenous seeding from a distant site of infection, or unknown etiology