Sukesh Kudumallige Sudhakara, Shiva Shiva, Ranjith Kumaran, Sheefali Chandra, Akshay Anand, Abhinav Arun Sonkar

Department of General Surgery, King George’s Medical University, Lucknow, India

Abstract

Emphysematous liver abscesses (ELAs), characterized by the presence of gas within the hepatic parenchyma, are an uncommon and potentially lifethreatening entity. ELAs with clinical presentations mimicking hollow viscus perforation pose a diagnostic conundrum for clinicians. This series highlights the diagnostic challenges posed by such atypical presentations and emphasizes the importance of considering hepatic pathology in the differential diagnosis of pneumoperitoneum. Our objective is to provide a comprehensive analysis of the diverse clinical presentations, diagnostic challenges, and therapeutic strategies employed in managing this unique subset of liver abscesses.

Keywords: Emphysematous liver abscess, liver abscess, gas under diaphragm

Cite this article as: Kudumallige Sudhakara S, Shiva S, Kumaran R, Chandra S, Anand A, Sonkar AA. Emphysematous liver abscess: Variable clinical presentations, management challenges and outcomes-a case series. Turk J Surg 2024; 40 (3): 247-255.


 

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - All of authors; Design - SS, SKS, AA, AAS; Supervision - RK, SC, AA, AAS; Fundings; SC, SS, SKS, RK; Data Collection and/ or Processing - SS, SKS, RK; Analysis and/or Interpretation - SS, SKS, AA, RK, SÇ; Literature Search - SS, SK, AA, SC; Writing Manuscript - SS, SKS, AA, AAS; Critical Reviews - AAS, AA, RK.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.