Spontaneous Rupture of a Pyogenic Liver Abscess in the Abdominal Wall: a Case Report

*Abdourahmane Ndong, Jacques Noel Tendeng, Fallou Gallas Niang, Mohamed Lamine Diao, Khoudia Kane, Makhtar Dieng, Moustapha Diedhiou, Philippe Manyacka Ma Nyemb, Ibrahima Konata

 

Affiliation: Department of General Surgery, University Gaston Berger, Senegal

ABSTRACT

Background: Pyogenic liver abscess is defined as a suppurated cavity caused by the invasion and multiplication of bacterial microorganisms in the liver parenchyma. Pyogenic liver abscess rupture in the abdominal wall is rare. Case Report: We describe a case of spontaneous rupture of a pyogenic liver abscess in the abdominal wall. The computed tomography found a liver abscess of the segment II ruptured in the abdominal wall with an epigastric parietal collection 2.5 cm below the skin. Percutaneous drainage combined with anti-biotherapy was performed favorably. Conclusion: Rupture in the abdominal wall is a very rare complication of liver abscess. Its prognosis is improved with an early diagnosis by imaging. The best treatment is percutaneous drainage combined with appropriate anti-biotherapy. 

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