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Point-of-care Ultrasound Identification of Hepatic Abscess in the Emergency Department.

ABSTRACT:

Case presentation

A 92-year-old female with past medical history of hypertension presented to the emergency department with pain in her right shoulder, right flank, and right upper quadrant of her abdomen. Point-of-care ultrasound (POCUS) and computed tomography imaging showed concerns for multiple large hepatic abscesses. Percutaneous drainage removed 240 millileters of purulent fluid that identified Fusobacterium nucleatum, a rare cause of pyogenic liver abscess.

Discussion

Emergency physicians should keep hepatic abscess on their differential for right upper quadrant abdominal pain and can use POCUS for expeditious diagnosis.

SUBMITTER: Blomquist M

PROVIDER: S-EPMC10247175 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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Publications

Point-of-care Ultrasound Identification of Hepatic Abscess in the Emergency Department.

Blomquist Michael M Brinkerhoff Taz T Weech David D Choi Heesun H

Clinical practice and cases in emergency medicine 20230501 2

<h4>Case presentation</h4>A 92-year-old female with past medical history of hypertension presented to the emergency department with pain in her right shoulder, right flank, and right upper quadrant of her abdomen. Point-of-care ultrasound (POCUS) and computed tomography imaging showed concerns for multiple large hepatic abscesses. Percutaneous drainage removed 240 millileters of purulent fluid that identified Fusobacterium nucleatum, a rare cause of pyogenic liver abscess.<h4>Discussion</h4>Emer ...[more]

PMID: 37285504

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