Absceso hepático

Abstract

The following investigation's objective presents the study abscess hepatic which is an infectious pathology that appears as an encapsulated collection of purulent content producing the destruction of the hepatic parenchyma that can be due to bacterial, parasitic, fungal or mixed infection. It is considered uncommon but its incidence has increased in recent years as a complication due to immunosuppression, hepatobiliary neoplasms, complex surgical and diagnostic procedures, and liver transplantation, being the main cause of biliary origin, and poor therapeutic management .The clinic presents with pain in the right hypochondrium, fever, diarrhea accompanied by bilirubin elevation, transaminases, alkaline phosphatase, anemia, hypoalbuminemia, the confirmation of the pathology is based on identifying the presence of the abscess through imaging tests being the ultrasound choice and the computerized axial tomography. Therapy is based on early antibiotic therapy. It presents a clinical case of a 63-year-old patient who presented severe pain in the right hypochondrium, diarrhea and jaundice and when TAC was performed multiple abscesses were found in hepatic parenchyma of the right lobe. Empirical treatment is started (triple therapy) and although no cultures were performed to identify the causal agent, the patient presented favorable evolution to the therapy.