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[Liver abscess following navel piercing].

S T van Vugt1, D J Gerritsen

  • 1Elkerliek Ziekenhuis, locatie Helmond, afd. Heelkunde, Helmond. b_van_vugt@hotmail.com

Nederlands Tijdschrift Voor Geneeskunde
|July 26, 2005
PubMed
Summary

A liver abscess in an 18-year-old woman was successfully treated after diagnosis via imaging and biopsy. Staphylococcus aureus from a prior navel infection likely spread through the ligamentum teres hepatis.

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Area of Science:

  • Hepatology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Liver abscesses are uncommon in young adults and can present with non-specific abdominal symptoms.
  • The ligamentum teres hepatis provides a potential pathway for infection spread from superficial sites to the liver.

Observation:

  • An 18-year-old female presented with abdominal pain, leading to imaging studies.
  • Ultrasonography and CT revealed a large intrahepatic lesion in the left lobe.
  • Biopsy confirmed the presence of a liver abscess.

Findings:

  • Staphylococcus aureus was identified as the causative pathogen.
  • A history of a superficial umbilical infection following body piercing was noted.
  • The route of infection was hypothesized to be hematogenous spread via the ligamentum teres hepatis.

Implications:

  • This case highlights a rare but possible route of liver abscess formation secondary to superficial skin infections.
  • Prompt diagnosis using imaging and microbiological analysis is crucial for effective management.
  • Antibiotic therapy combined with abscess drainage offers a successful treatment strategy for liver abscesses.

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