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Pyogenic Hepatic Abscess
Aya Kamaya, MD, FSRU, FSAR; Neha Antil, MD, DNB
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Liver pyogenic abscess
            • Definitions

              • Localized collection of pus in liver due to bacterial infectious process with destruction of hepatic parenchyma & stroma

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Malekzadeh S et al: Typical imaging finding of hepatic infections: a pictorial essay. Abdom Radiol (NY). 46(2):544-61, 2020
                                            2. Wang N et al: Differentiation of liver abscess from liver metastasis using dual-energy spectral CT quantitative parameters. Eur J Radiol. 113:204-8, 2019
                                            3. Giambelluca D et al: The "double target sign" in liver abscess. Abdom Radiol (NY). 43(10):2885-6, 2018
                                            4. Bächler P et al: Multimodality imaging of liver infections: differential diagnosis and potential pitfalls. Radiographics. 36(4):1001-23, 2016
                                            5. Law ST et al: Is there any difference in pyogenic liver abscess caused by Streptococcus milleri and Klebsiella spp?: retrospective analysis over a 10-year period in a regional hospital. J Microbiol Immunol Infect. 46(1):11-8, 2013
                                            6. Bonder A et al: Evaluation of liver lesions. Clin Liver Dis. 16(2):271-83, 2012
                                            7. Tu JF et al: Comparison of laparoscopic and open surgery for pyogenic liver abscess with biliary pathology. World J Gastroenterol. 17(38):4339-43, 2011
                                            8. K C S et al: Long-term follow-up of pyogenic liver abscess by ultrasound. Eur J Radiol. 74(1):195-8, 2010
                                            9. Mishra K et al: Liver abscess in children: an overview. World J Pediatr. 6(3):210-6, 2010
                                            10. Benedetti NJ et al: Imaging of hepatic infections. Ultrasound Q. 24(4):267-78, 2008
                                            11. Doyle DJ et al: Imaging of hepatic infections. Clin Radiol. 61(9):737-48, 2006
                                            12. Kim KW et al: Pyogenic hepatic abscesses: distinctive features from hypovascular hepatic malignancies on contrast-enhanced ultrasound with SH U 508A; early experience. Ultrasound Med Biol. 30(6):725-33, 2004
                                            13. Mortelé KJ et al: The infected liver: radiologic-pathologic correlation. Radiographics. 24(4):937-55, 2004
                                            14. Johannsen EC et al: Pyogenic liver abscesses. Infect Dis Clin North Am. 14(3):547-63, vii, 2000
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Liver pyogenic abscess
                                                      • Definitions

                                                        • Localized collection of pus in liver due to bacterial infectious process with destruction of hepatic parenchyma & stroma

                                                      IMAGING

                                                      • General Features

                                                        • Ultrasonographic Findings

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Nuclear Medicine Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Gross Pathologic & Surgical Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Malekzadeh S et al: Typical imaging finding of hepatic infections: a pictorial essay. Abdom Radiol (NY). 46(2):544-61, 2020
                                                                                      2. Wang N et al: Differentiation of liver abscess from liver metastasis using dual-energy spectral CT quantitative parameters. Eur J Radiol. 113:204-8, 2019
                                                                                      3. Giambelluca D et al: The "double target sign" in liver abscess. Abdom Radiol (NY). 43(10):2885-6, 2018
                                                                                      4. Bächler P et al: Multimodality imaging of liver infections: differential diagnosis and potential pitfalls. Radiographics. 36(4):1001-23, 2016
                                                                                      5. Law ST et al: Is there any difference in pyogenic liver abscess caused by Streptococcus milleri and Klebsiella spp?: retrospective analysis over a 10-year period in a regional hospital. J Microbiol Immunol Infect. 46(1):11-8, 2013
                                                                                      6. Bonder A et al: Evaluation of liver lesions. Clin Liver Dis. 16(2):271-83, 2012
                                                                                      7. Tu JF et al: Comparison of laparoscopic and open surgery for pyogenic liver abscess with biliary pathology. World J Gastroenterol. 17(38):4339-43, 2011
                                                                                      8. K C S et al: Long-term follow-up of pyogenic liver abscess by ultrasound. Eur J Radiol. 74(1):195-8, 2010
                                                                                      9. Mishra K et al: Liver abscess in children: an overview. World J Pediatr. 6(3):210-6, 2010
                                                                                      10. Benedetti NJ et al: Imaging of hepatic infections. Ultrasound Q. 24(4):267-78, 2008
                                                                                      11. Doyle DJ et al: Imaging of hepatic infections. Clin Radiol. 61(9):737-48, 2006
                                                                                      12. Kim KW et al: Pyogenic hepatic abscesses: distinctive features from hypovascular hepatic malignancies on contrast-enhanced ultrasound with SH U 508A; early experience. Ultrasound Med Biol. 30(6):725-33, 2004
                                                                                      13. Mortelé KJ et al: The infected liver: radiologic-pathologic correlation. Radiographics. 24(4):937-55, 2004
                                                                                      14. Johannsen EC et al: Pyogenic liver abscesses. Infect Dis Clin North Am. 14(3):547-63, vii, 2000