Hepatic Abscess as Early Presentation of Perforated Diverticulitis

Area of Science:

• Gastroenterology
• Hepatology
• Infectious Diseases

Background:

• Hepatic abscesses are uncommon, with diverse origins including biliary issues, intra-abdominal infections, and trauma.
• Diagnosis relies heavily on imaging modalities like ultrasound and computed tomography scans.
• Treatment typically involves antibiotics and abscess drainage, either percutaneous or surgical.

Observation:

• A 43-year-old Hispanic female presented with abdominal pain in the left lower and right upper quadrants.
• Imaging revealed a hepatic abscess and a pelvic abscess.
• The abscesses were suspected to be secondary to a perforated diverticulum.

Findings:

• The case illustrates a rare presentation of hepatic and pelvic abscesses.
• Perforated diverticulitis was identified as the likely underlying etiology.
• This underscores the importance of considering gastrointestinal sources for intra-abdominal abscesses.

Implications:

• This case emphasizes the need for thorough investigation of abdominal pain, especially in the presence of risk factors for diverticular disease.
• Early recognition and management of hepatic and pelvic abscesses are crucial for patient outcomes.
• Highlights the connection between gastrointestinal pathology and liver/pelvic abscess formation.