Document Detail


Penetrating gastric ulcer presenting as a subcapsular liver abscess.
MedLine Citation:
PMID:  17249464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes a subcapsular liver abscess secondary to a penetrating gastric ulcer. The initial read on the CT scan misinterpreted the abscess cavity as an opacified loop of bowel, although it was very conspicuous on a retrospective review. A penetrating gastric ulcer was identified with esophagogastroduodenoscopy and the subcapsular liver abscess was subsequently detected using MRI. Although the conventional treatment of this condition is surgery, successful management was accomplished with a combination of percutaneous drainage, Helicobacter pylori eradication, and acid-suppressive therapy. A review of the literature is provided, including associated cases and the diagnostic modalities used in the evaluation of this condition. This case illustrates how one can arrive at the correct diagnosis with the use of multiple complementary modalities of investigation.
Authors:
Kota R Venkatesh; Andrew Halpern; Lee B Riley
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  73     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-25     Completed Date:  2007-02-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  82-4     Citation Subset:  IM    
Affiliation:
Department of Surgery, St. Lukes Hospital, Bethlehem, Pennsylvania 18015, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Diagnosis, Differential
Endoscopy, Gastrointestinal
Female
Follow-Up Studies
Humans
Liver Abscess / diagnosis,  etiology*
Magnetic Resonance Imaging
Peptic Ulcer Perforation / complications*,  diagnosis
Stomach Ulcer / complications*,  diagnosis
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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