Liver abscess secondary to intrahepatic perforation of the gallbladder, presenting as a liver mass

Efthimios A. Bakalakos, W. Scott Melvin, Robert Kirkpatrick

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18 Scopus citations


We present an unusual case of a large pyogenic liver abscess containing multiple stones caused by perforation of a necrotic gallbladder and spread of the infection into the liver. It manifested by weakness, weight loss, and a palpable liver mass, pointing toward a neoplastic process. Workup for metastatic disease was negative, and tumor markers also were negative. Ultrasound and computerized tomography were inconclusive, and the diagnosis was established by laparoscopy. Open drainage and cholecystectomy were performed, with good outcome. In the literature, there have been very few reports of intrahepatic perforation of the gallbladder resulting in formation of hepatic abscess. The presentation, diagnosis, and management of liver abscesses, as well as the complications of acute cholecystitis, are discussed.

Original languageEnglish (US)
Pages (from-to)1644-1646
Number of pages3
JournalAmerican Journal of Gastroenterology
Issue number8
Publication statusPublished - Aug 1 1996
Externally publishedYes


ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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