Anterior abdominal wall abscess secondary to spontaneous rupture of liver abscess in a resource-limited, rural, surgical setting: A case report

• প্রধান লেখক: Royson Dsouza (Author), Mrudula Rao (Author), Harshad Arvind Vanjare (Author), Manbha Rymbai (Author)
• বিন্যাস: গ্রন্থ
• প্রকাশিত: Health for All Nations, 2021-01-01T00:00:00Z.
• বিষয়গুলি: article
• অনলাইন ব্যবহার করুন: Connect to this object online.
• Notes: 2167-2415; 10.15566/cjgh.v8i1.507
• Keywords: liver abscess; spontaneous rupture; resource-limited setting; minimally invasive surgery; percutaneous drainage; Public aspects of medicine; RA1-1270; Practical religion. The Christian life; BV4485-5099
• Source: Christian Journal for Global Health, Vol 8, Iss 1, Pp 72-77 (2021)

Liver abscess continues to be a major surgical burden in low-and mid-low-income countries like India. Spontaneous rupture into the anterior abdominal wall is an uncommon presentation of pyogenic liver abscess. A 53-year-old diabetic female presented with acute pain in the right, upper quadrant of the abdomen. On examination, she had an anterior abdominal wall abscess with tender hepatomegaly. On further evaluation with ultrasonography and plain computed tomography, a diagnosis of liver abscess in the right lobe with rupture into the anterior abdominal wall was made. She was treated successfully in a tribal secondary care hospital with an ultrasound-guided aspiration followed by surgical drainage under local anesthesia. This case report highlights that a considerable number of patients with liver abscess and its complications can be appropriately managed in resource-limited, rural, surgical centers.