LIVER-ABSCESS SECONDARY TO INTRAHEPATIC PERFORATION OF THE GALLBLADDER, PRESENTING AS A LIVER MASS

We present an unusual case of a large pyogenic liver abscess containin g multiple stones caused by perforation of a necrotic gallbladder and spread of the infection into the liver, It manifested by weakness, wei ght loss, and a palpable liver mass, pointing toward a neoplastic proc ess, Workup for metastatic disease was negative, and tumor markers als o were negative, Ultrasound and computerized tomography were inconclus ive, and the diagnosis was established by laparoscopy. Open drainage a nd cholecystectomy were performed, with good outcome, In the literatur e, there have been very few reports of intrahepatic perforation of the gallbladder resulting in formation of hepatic abscess, The presentati on, diagnosis, and management of liver abscesses, as well as the compl ications of acute cholecystitis, are discussed.