Multiple hepatic abscesses: cholangiographic changes simulating sclerosing cholangitis and resolution after percutaneous drainage

Am J Gastroenterol. 1990 Mar;85(3):306-8.

Abstract

A 59-yr-old man developed multiple hepatic abscesses following an episode of diverticulitis. A percutaneous transhepatic cholangiogram (PTC) showed changes typical of sclerosing cholangitis complicated by multiple hepatic abscesses. No biliary tract stones were seen either on ultrasound or PTC. A single drain left in the right biliary tree and a course of intravenous antibiotics resulted in complete normalization within 14 days of the previously involved biliary tree.

Publication types

  • Case Reports

MeSH terms

  • Bacteroides Infections / diagnosis
  • Cholangiography
  • Cholangitis, Sclerosing / complications
  • Cholangitis, Sclerosing / diagnostic imaging*
  • Diagnosis, Differential
  • Drainage / methods
  • Humans
  • Liver Abscess / diagnostic imaging*
  • Liver Abscess / etiology
  • Liver Abscess / therapy
  • Male
  • Middle Aged
  • Streptococcal Infections / diagnosis
  • Tomography, X-Ray Computed