Absceso hepático piógeno roto: reporte de caso

Resumen

Liver abscess is an uncommon pathology caused by the invasion of amebic, pyogenic or fungal microorganisms into the healthy parenchyma of the liver. We present the clinical case of a 27-year-old male adult with alcoholism and occasional smoking, with no other associated comorbidities, who was admitted to the General Hospital of Tecamachalco, Puebla, Mexico, for generalized abdominal pain and intolerance to oral administration for 4 days. CT scan interpretation showed data suggestive of hepatic abscess in segments VI and VII of the liver with abundant fluid in the abdomino-pelvic cavity. Exploratory laparotomy was performed with the finding of rupture of a ruptured pyogenic liver abscess, drainage and cleaning of the abdominal cavity was performed, antimicrobial therapy was started with satisfactory evolution and discharge without complications. In this patient there were no findings of lesion or cause of migration of the infection from another abdominal organ to the liver, confirming the unknown origin.