Answer of October 1998

Clinical History:

M/79. Fever, cholangitis.

Figure 1 US L lobe
Figure 2US R lobe
Figure 3 CECT liver

What is your diagnosis?

                            Figure 1                                                                        Figure 2

                            Figure 3                                                                        Figure 4

Diagnosis:

SCHISTOSOMIASIS OF LIVER WITH CLOSTRIDIUM LIVER ABSCESS

Discussion:

Figure 1 US left lobe of liver showed reticulations.

Figure 2 US right lobe of liver showed presence of a large liver abscess.

Figure 3 Plain CT showed reticular calcifications & air containing fluid collection in R lobe of liver.

Figure 4 Percutaenous drainage of liver abscess under US guidance. 150 ml greenish pus was drained. Culture yielded Clostridium.