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Updated: Aug 28, 2025

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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
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Unique diagnostic challenge in surgery: hepatic abscess versus malignancy.
Shrenik Govindaraj1, Clement Prakash1, Anuradha Ananthamurthy2
1Department of General Surgery and Laparoscopy, St John's Medical College Hospital, Bangalore, Karnataka, India.
BMJ Case Reports
|September 21, 2022
Summary
A patient initially suspected of having a pyogenic liver abscess was diagnosed with squamous cell carcinoma (SCC) with hepatic metastases. Definitive diagnosis required a trucut biopsy and immunohistochemistry, highlighting the importance of these methods for metastatic cancer.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- Squamous cell carcinoma (SCC) can metastasize to the liver, presenting as atypical lesions.
- Pyogenic liver abscesses share imaging characteristics with hepatic metastases, complicating diagnosis.

