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Summary
A liver abscess communicating with the intrahepatic biliary system was diagnosed in a patient with septic fever. Endoscopic retrograde cholangiopancreatography (ERC) confirmed contrast media within the hepatic parenchyma, indicating the abscess
Area of Science:
- Hepatology
- Gastroenterology
- Infectious Diseases
Background:
- Septic fever and elevated alkaline phosphatase are critical indicators for biliary system investigation.
- Endoscopic retrograde cholangiopancreatography (ERC) is a key diagnostic tool for biliary pathology.
Observation:
- Contrast media was observed within the hepatic parenchyma during ERC.
- The patient presented with symptoms suggestive of a serious infection and liver dysfunction.
Findings:
- The presence of contrast media in the hepatic parenchyma confirmed a liver abscess.
- The abscess was found to be in direct communication with the intrahepatic biliary system.
Implications:
- This case highlights the importance of ERC in diagnosing complex liver abscesses.
- Understanding the biliary communication is crucial for effective treatment and management of liver abscesses.