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Ultrasound
Diagnosis
Liver
Cyst and Cyst-Like Lesions
CEUS Liver: Abscess
CEUS Liver: Abscess
Ioan Sporea, MD, PhD; Alina Popescu, MD, PhD
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KEY FACTS

  • Diagnostic checklist

    • Clinical Implications

      • US FINDINGS

        • CEUS FINDINGS

          • Pathology

            TERMINOLOGY

            • Definitions

              • Liver abscess is infected collection that is most often caused by bacteria
              • Severe condition that needs prompt recognition and adequate treatment

            CLINICAL IMPLICATIONS

            • General Features

              • Treatment

                PATHOLOGY

                • General Features

                  IMAGING

                  • General Discussion

                    • CT Findings

                      • US Findings

                        • CEUS Findings

                          • DIAGNOSIS

                            • DIFFERENTIAL DIAGNOSIS

                              DIAGNOSTIC CHECKLIST

                              • Image Interpretation Pearls

                                Selected References

                                1. Cai YL et al: Percutaneous needle aspiration versus catheter drainage in the management of liver abscess: a systematic review and meta-analysis. HPB (Oxford). 17(3):195-201, 2015
                                2. Kunze G et al: Contrast-enhanced ultrasound in different stages of pyogenic liver abscess. Ultrasound Med Biol. 41(4):952-9, 2015
                                3. Popescu A et al: Does contrast enhanced ultrasound improve the management of liver abscesses? A single centre experience. Med Ultrason. 17(4):451-5, 2015
                                4. Claudon M et al: Guidelines and good clinical practice recommendations for Contrast Enhanced Ultrasound (CEUS) in the liver - update 2012: A WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS. Ultrasound Med Biol. 39(2):187-210, 2013
                                5. Chiche L et al: [Pyogenic-liver abscess: diagnosis and management.] Gastroenterol Clin Biol. 32(12):1077-91, 2008
                                6. Liu GJ et al: Real-time contrast-enhanced ultrasound imaging of infected focal liver lesions. J Ultrasound Med. 27(4):657-66, 2008
                                7. Thomsen RW et al: Diabetes mellitus and pyogenic liver abscess: risk and prognosis. Clin Infect Dis. 44(9):1194-201, 2007
                                8. Zerem E et al: Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess. AJR Am J Roentgenol. 189(3):W138-42, 2007
                                9. Chan KS et al: Pyogenic liver abscess: a retrospective analysis of 107 patients during a 3-year period. Jpn J Infect Dis. 58(6):366-8, 2005
                                10. Catalano O et al: Low mechanical index contrast-enhanced sonographic findings of pyogenic hepatic abscesses. AJR Am J Roentgenol. 182(2):447-50, 2004
                                11. Pearce NW et al: Non-operative management of pyogenic liver abscess. HPB (Oxford). 5(2):91-5, 2003
                                12. Mohsen AH et al: Liver abscess in adults: ten years experience in a UK centre. QJM. 95(12):797-802, 2002
                                13. Hochbergs P et al: Diagnosis and percutaneous treatment of pyogenic hepatic abscesses. Acta Radiol. 31(4):351-3, 1990
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Diagnostic checklist

                                  • Clinical Implications

                                    • US FINDINGS

                                      • CEUS FINDINGS

                                        • Pathology

                                          TERMINOLOGY

                                          • Definitions

                                            • Liver abscess is infected collection that is most often caused by bacteria
                                            • Severe condition that needs prompt recognition and adequate treatment

                                          CLINICAL IMPLICATIONS

                                          • General Features

                                            • Treatment

                                              PATHOLOGY

                                              • General Features

                                                IMAGING

                                                • General Discussion

                                                  • CT Findings

                                                    • US Findings

                                                      • CEUS Findings

                                                        • DIAGNOSIS

                                                          • DIFFERENTIAL DIAGNOSIS

                                                            DIAGNOSTIC CHECKLIST

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Cai YL et al: Percutaneous needle aspiration versus catheter drainage in the management of liver abscess: a systematic review and meta-analysis. HPB (Oxford). 17(3):195-201, 2015
                                                              2. Kunze G et al: Contrast-enhanced ultrasound in different stages of pyogenic liver abscess. Ultrasound Med Biol. 41(4):952-9, 2015
                                                              3. Popescu A et al: Does contrast enhanced ultrasound improve the management of liver abscesses? A single centre experience. Med Ultrason. 17(4):451-5, 2015
                                                              4. Claudon M et al: Guidelines and good clinical practice recommendations for Contrast Enhanced Ultrasound (CEUS) in the liver - update 2012: A WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS. Ultrasound Med Biol. 39(2):187-210, 2013
                                                              5. Chiche L et al: [Pyogenic-liver abscess: diagnosis and management.] Gastroenterol Clin Biol. 32(12):1077-91, 2008
                                                              6. Liu GJ et al: Real-time contrast-enhanced ultrasound imaging of infected focal liver lesions. J Ultrasound Med. 27(4):657-66, 2008
                                                              7. Thomsen RW et al: Diabetes mellitus and pyogenic liver abscess: risk and prognosis. Clin Infect Dis. 44(9):1194-201, 2007
                                                              8. Zerem E et al: Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess. AJR Am J Roentgenol. 189(3):W138-42, 2007
                                                              9. Chan KS et al: Pyogenic liver abscess: a retrospective analysis of 107 patients during a 3-year period. Jpn J Infect Dis. 58(6):366-8, 2005
                                                              10. Catalano O et al: Low mechanical index contrast-enhanced sonographic findings of pyogenic hepatic abscesses. AJR Am J Roentgenol. 182(2):447-50, 2004
                                                              11. Pearce NW et al: Non-operative management of pyogenic liver abscess. HPB (Oxford). 5(2):91-5, 2003
                                                              12. Mohsen AH et al: Liver abscess in adults: ten years experience in a UK centre. QJM. 95(12):797-802, 2002
                                                              13. Hochbergs P et al: Diagnosis and percutaneous treatment of pyogenic hepatic abscesses. Acta Radiol. 31(4):351-3, 1990