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Pyogenic Hepatic Abscess
Hee Sun Park, MD, PhD; Aya Kamaya, MD, FSRU, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Liver pyogenic abscess
              • Definitions

                • Localized collection of pus in liver due to bacterial infectious process with destruction of hepatic parenchyma and 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. 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
                                              2. Bonder A et al: Evaluation of liver lesions. Clin Liver Dis. 16(2):271-83, 2012
                                              3. 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
                                              4. K C S et al: Long-term follow-up of pyogenic liver abscess by ultrasound. Eur J Radiol. 74(1):195-8, 2010
                                              5. Mishra K et al: Liver abscess in children: an overview. World J Pediatr. 6(3):210-6, 2010
                                              6. Benedetti NJ et al: Imaging of hepatic infections. Ultrasound Q. 24(4):267-78, 2008
                                              7. Doyle DJ et al: Imaging of hepatic infections. Clin Radiol. 61(9):737-48, 2006
                                              8. 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
                                              9. Mortelé KJ et al: The infected liver: radiologic-pathologic correlation. Radiographics. 24(4):937-55, 2004
                                              10. 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

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Synonyms

                                                            • Liver pyogenic abscess
                                                          • Definitions

                                                            • Localized collection of pus in liver due to bacterial infectious process with destruction of hepatic parenchyma and 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. 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
                                                                                          2. Bonder A et al: Evaluation of liver lesions. Clin Liver Dis. 16(2):271-83, 2012
                                                                                          3. 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
                                                                                          4. K C S et al: Long-term follow-up of pyogenic liver abscess by ultrasound. Eur J Radiol. 74(1):195-8, 2010
                                                                                          5. Mishra K et al: Liver abscess in children: an overview. World J Pediatr. 6(3):210-6, 2010
                                                                                          6. Benedetti NJ et al: Imaging of hepatic infections. Ultrasound Q. 24(4):267-78, 2008
                                                                                          7. Doyle DJ et al: Imaging of hepatic infections. Clin Radiol. 61(9):737-48, 2006
                                                                                          8. 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
                                                                                          9. Mortelé KJ et al: The infected liver: radiologic-pathologic correlation. Radiographics. 24(4):937-55, 2004
                                                                                          10. Johannsen EC et al: Pyogenic liver abscesses. Infect Dis Clin North Am. 14(3):547-63, vii, 2000