Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Meisam Ahmadi Nejad^1iD*, Maryam Ahmadi Nejad^1iD
1St. George’s University, School of Medicine, USA

Corresponding Author: Meisam Ahmadi Nejad ^{ORCID iD}
Address: 3500 Sunrise Hwy, Great River, NY 11739, USA.
Received date: 29 February 2024; Accepted date: 16 March 2024; Published date: 23 March 2024

Citation: Ahmadi Nejad M, Ahmadi Nejad M. Liver Abscess Management in a Complex Oncologic Case. Asp Biomed Clin Case Rep. 2024 Mar 23;7(1):73-78.

Copyright © 2024 Ahmadi Nejad M, Ahmadi Nejad M. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Multiloculated Liver Abscess, Cholangiocarcinoma, Interventional Radiology

Abstract

Liver abscesses pose a significant clinical challenge, particularly when complicated by underlying conditions such as cholangiocarcinoma. This case report describes the management of a complex, multiloculated liver abscess in a 50-year-old patient with a multifaceted medical history.
A 50-year-old female with a history of cholangiocarcinoma and associated complications presented with progressive odynophagia and chest pain amidst a backdrop of multiple comorbidities, including diabetes mellitus, gastrointestinal disorders, and a complex surgical history. On admission, she exhibited tachycardia, hypertension, and laboratory findings indicative of microcytic anemia, electrolyte imbalances, and potential systemic hypoperfusion. Imaging did not reveal acute cardiopulmonary issues. Treatment for E. coli bacteremia and suspected liver abscess included antibiotics and percutaneous drainage with substantial purulent discharge. The patient’s care was further complicated by oral thrush and esophagitis managed successfully with antifungals. Palliative care was consulted. On day 34, the patient was discharged to home hospice.
This case supports the use of percutaneous drainage as a frontline treatment for multiloculated liver abscesses and underscores the need for individualized treatment approaches. It also emphasizes the role of interventional radiology in managing complex intra-abdominal infections.