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Tubercular liver abscess rupturing into the pleural cavity: a rare complication
Mohit Bansal1, Poonam Dalal2, Yogender Kadian3
1Senior Resident, Department of Pediatrics, PGIMS, Rohtak, Haryana, India.
Tropical Doctor
|July 24, 2019
Summary
Isolated tubercular liver abscesses are rare in children, especially when rupturing into the pleura. This case highlights successful management of a pediatric empyema caused by a ruptured liver abscess with drainage and antitubercular therapy.
Area of Science:
- Pediatric infectious diseases
- Hepatology
- Pulmonology
Background:
- Liver abscesses (pyogenic, amoebic) are common in children.
- Isolated tubercular liver abscess without other TB signs is rare.
- Rupture into the pleura is an uncommon complication.
Observation:
- A 14-year-old girl presented with a liver abscess.
- The abscess had ruptured into the pleural space, causing empyema.
- No active pulmonary, gastrointestinal, or other clinical evidence of tuberculosis was initially present.
Findings:
- The case involved a rare instance of isolated tubercular liver abscess.
- The abscess ruptured into the pleura, leading to empyema.
- Successful treatment involved intercostal tube drainage and antitubercular medication.
Implications:
- This case underscores the importance of considering tuberculosis in pediatric liver abscesses, even without typical signs.
- Early diagnosis and appropriate management, including antitubercular treatment, are crucial for favorable outcomes.
- Highlights the need for comprehensive diagnostic approaches in pediatric empyema cases with potential hepatic origin.
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