A Pyogenic Liver Abscess Leading to Massive Pleural Effusion: A Case Report

2021 ◽  
Author(s):  
Ahmad E Al-Mulla
Keyword(s):  
Abdominal Pain ◽  
Pleural Effusion ◽  
Rare Case ◽  
Pyogenic Liver Abscess ◽  
Klebsiella Pneumonia ◽  
Liver Abscesses ◽  
Massive Pleural Effusion ◽  
Atypical Presentations ◽  
Upper Abdominal ◽  
To Receive

Pyogenic liver abscesses are common in tropical developing countries. They are typically present with right and upper abdominal pain; nevertheless, occasionally, we encounter atypical presentations. Here we present a rare case of complicated large liver abscesses caused by Klebsiella pneumonia, which manifests in massive pleural effusion in a young, healthy gentleman. The patient stayed ten days in the hospital for drainage and to receive appropriate antibiotics.

Pyogenic Liver Abscess in Normal Children With Fever of Unknown Origin

PEDIATRICS ◽  
1976 ◽  
Vol 58 (4) ◽  
pp. 614-616 ◽  
Author(s):  
Sheldon L. Kaplan ◽  
Ralph D. Feigin
Keyword(s):  
Abdominal Pain ◽  
Liver Abscess ◽  
Fever Of Unknown Origin ◽  
Unknown Origin ◽  
Pyogenic Liver Abscess ◽  
Liver Function Tests ◽  
Blood Cultures ◽  
Normal Children ◽  
The Past ◽  
Liver Abscesses

Solitary pyogenic hepatic abscesses were identified as the cause of fever, abdominal pain, and hepatomegaly in two otherwise normal children who were seen at St. Louis Children's Hospital during the past year. Liver function tests were normal and blood cultures were negative in both patients. These cases illustrate that pyogenic liver abscess may occur in normal children and should be considered whenever fever of unknown origin is associated with abdominal complaints. Only in this way can we hope to improve upon the results cited previously, namely that the majority of liver abscesses remain undiagnosed during life.

Pirenzepine in Non-Ulcer Dyspepsia: A Double-Blind Multicentre Trial

1990 ◽  
Vol 18 (1) ◽  
pp. 16-20 ◽  
Author(s):  
P.M. Smith ◽  
A.H. Troughton ◽  
F. Gleeson ◽  
J. Walters ◽  
C.F. McCarthy
Keyword(s):  
Abdominal Pain ◽  
Placebo Group ◽  
Adverse Effects ◽  
Multicentre Study ◽  
Multicentre Trial ◽  
Nausea And Vomiting ◽  
Double Blind ◽  
Non Ulcer Dyspepsia ◽  
Upper Abdominal ◽  
To Receive

In a double-blind multicentre study to compare pirenzepine with placebo in non-ulcer dyspepsia, 71 patients were randomized to receive 50 mg pirenzepine or placebo given orally twice daily for 4 weeks. The trial was not completed by five patients in the pirenzepine group and six in the placebo group. There were no significant differences between the groups in respect to changes in total symptoms (upper abdominal pain, nausea and vomiting, early satiety and postprandial bloating, eructation and pyrosis) scores and outcome, although 27/35 (77%) patients receiving pirenzepine were cured or improved compared with 22/36 (61%) receiving the placebo. Adverse effects were reported by 13 (37%) patients treated with pirenzepine and by six (17%) treated with placebo, seven withdrawing due to adverse effects.

scholarly journals Heart failure presented with massive pleural effusion and mediastinal lymphadenopathy: a rare case report

2014 ◽  
Vol 24 (2) ◽  
pp. 86-88
Author(s):  
Mohammad Shahidul Islam ◽  
Humayara Tabassum ◽  
Sharah Jahan ◽  
Mohammad Shahin Masud ◽  
Muhammad Al Amin ◽  
...  
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Pleural Effusion ◽  
Ct Scan ◽  
Rare Case ◽  
Unusual Case ◽  
Mediastinal Lymphadenopathy ◽  
Common Cause ◽  
Massive Pleural Effusion ◽  
Rare Case Report

Heart failure may present with diverse manifestation. It is far most common cause of bilateral transudative pleural effusion. In very unusual case, it may present with only massive transudative pleural effusion without cardiomegaly and other features of heart failure such as leg odema, tender hepatomegaly or congested liver. We presented a case that present with massive transudative pleural effusion with mediastinal lymphadenopathy evidenced by CT scan of chest and treated successfully with diuretics. DOI: http://dx.doi.org/10.3329/bjmed.v24i2.20223 Bangladesh J Medicine 2013; 24 : 86-88

A RARE CASE OF PRIMARY PANCREATIC HYDATID CYST CAUSING BILIARY TREE DILATATION

2021 ◽  
pp. 13-14
Author(s):  
R. Deepthi ◽  
Sai kumar Reddy. kami reddy ◽  
Nasin Usman
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Echinococcus Granulosus ◽  
Hydatid Disease ◽  
Rare Case ◽  
Biliary Tree ◽  
Cystic Lesions ◽  
Endemic Areas ◽  
Upper Abdominal ◽  
Ct And Mri

Echinococcus granulosus complex is the causative parasite of hydatid disease, endemic to regions with stock breeding and agriculture. We present a rare case of primary pancreatic hydatid disease in a 20-year-old female who had complaints of upper abdominal pain and epigastric fullness. The typical radiological ndings in ultrasound, CT and MRI helps to differentiate this lesion from other cystic lesions in the pancreas. Therefore this lesion should be kept as a differential in endemic areas

scholarly journals Sarcoidosis of the pleura: A case report

2014 ◽  
Vol 71 (5) ◽  
pp. 506-509 ◽  
Author(s):  
Dragana Jovanovic ◽  
Violeta Vucinic ◽  
Ruza Stevic ◽  
Marina Roksandic-Milenkovic ◽  
Natalija Samardzic ◽  
...  
Keyword(s):  
Case Report ◽  
Pleural Effusion ◽  
Rare Case ◽  
Definitive Diagnosis ◽  
Pleural Effusions ◽  
Noncaseating Granuloma ◽  
Pleural Thickening ◽  
Massive Pleural Effusion ◽  
Trapped Lung ◽  
Pleural Involvement

Introduction. Pleural involvement is an uncommon manifestation of sarcoidosis. It may manifest as pleural effusion, pneumothorax, pleural thickening and nodules, hydropneumothorax, trapped lung, hemothorax, or chylothorax. The incidence of pleural effusion with sarcoidosis ranges from 0% to 5% but has been reported to be as high as 7.5%. Pleural effusions complicate sarcoidosis in < 3% of patients. Case report. We reported a 64-year-old male patient with chronic multiorgan sarcoidosis. This patient developed pleural sarcoidosis with massive pleural effusion several years after the diagnosis of sarcoidosis. A definitive diagnosis of a sarcoid pleural effusion was based on a biopsy demonstrating noncaseating granuloma. The patient responded well to the treatment (methotrexate and methylprednisolone) with a complete withdrawal of pleural effusion following five weeks of the treatment beginning. Conclusion. The presented patient is a rare case of pleural involvement of sarcoidosis with massive effusion, who responded well to the treatment.

scholarly journals A rare case of gastric fundus tuberculosis with nonspecific abdominal pain

2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110331
Author(s):  
Feiyu Yan ◽  
Xianzhe Yu ◽  
Hongjun Lei ◽  
Yi Chen ◽  
Jiwei Wang ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Rare Case ◽  
Histopathological Examination ◽  
Submucosal Tumor ◽  
Treatment Delay ◽  
Gastric Fundus ◽  
Abdominal Symptoms ◽  
High Incidence ◽  
Upper Abdominal ◽  
Space Occupying Lesion

A 53-year-old patient who experienced recurring upper abdominal pain and discomfort for 4 years was admitted to our hospital. Gastroscopy was performed to identify the location of the pain and evaluate the characteristics of a mass in the abdomen. Endoscopic ultrasonography (EUS) and abdominal computed tomography (CT) revealed a space-occupying lesion in the gastric fundus, suggestive of a submucosal tumor and highly likely of stromal origin. Surgical resection of the lesion was performed for identification; however, postoperative histopathological examination of the lesion revealed gastric fundus tuberculosis (TB). Gastric TB is relatively rare; therefore, clinicians should be highly suspicious of patients with abdominal symptoms from regions with a high incidence of TB to prevent treatment delay caused by misdiagnosis.

scholarly journals Liver abscess, management strategies, and outcome

2018 ◽  
Vol 5 (9) ◽  
pp. 3093
Author(s):  
Sudhir R. Jayakar ◽  
Prabhat B. Nichkaode
Keyword(s):  
Abdominal Pain ◽  
Liver Abscess ◽  
Tertiary Care ◽  
Management Strategies ◽  
Hepatic Abscess ◽  
Pyogenic Liver Abscess ◽  
Study Population ◽  
Set Up ◽  
Upper Abdominal ◽  
Diagnosis Therapy

Background: Liver abscess, a disease troubling mankind from ancient times, has earliest documentation in the Sanskrit document. Where right upper abdominal pain, have potentially lethal consequences, if prompt diagnosis and treatment are not accomplished. However, two major types are known, amoebic and pyogenic, in medical literature. Pyogenic liver abscess constitutes major bulk of hepatic abscess in western countries. The diagnosis is confirmed by ultrasonography, reddish brown (anchovy-paste like material) aspirate from abscess. The diagnosis, treatment and prognosis, of liver abscess have evolved remarkably over past few years. Imaging has improved diagnostic competence and has altered therapeutic strategy. The study aims at early clinical and  diagnosis on imaging of liver abscess, to set up some guide lines in view of conservative or either  intervention.Methods: The present study was hospital based longitudinal study, carried out in tertiary care teaching hospital from November 2013 to November 2015.  A total of 55 patients were enrolled in the study. All patients with suspicion of having liver abscess were confirmed on Imaging and included as present study population. Authors studied mainly presentation, role of conservative treatment, Aspiration, pigtail catheter, Outcome, and post procedural complications.Results: All patients presented with Pain right or left upper abdominal pain in abdomen, any chest complaints , majority of present study group patients had fever with or without rigors, deranged liver function. Imaging is the most diagnostic method, and also helped in therapy and follow up.Conclusions: Males are affected more than females, Imaging is the best modality for diagnosis, therapy and follow up. Aspiration or pigtail drainage is the standard method of drainage. Pigtail drainage is the better method of treatment than aspiration.

scholarly journals Shewanella, not just found in the marine environment. A rare case of Shewanella algae bacteremia

2020 ◽  
pp. 170
Author(s):  
Keyword(s):  
Pancreatic Cancer ◽  
Abdominal Pain ◽  
Blood Culture ◽  
Bacterial Infection ◽  
Marine Environment ◽  
Rare Case ◽  
Cancer Center ◽  
Liver Abscesses ◽  
Shewanella Algae ◽  
Caucasian Female

A 63 year old Caucasian female with ampullary pancreatic cancer s/p pancreaticoduodenectomy in 2016 was admitted to our cancer center with complaints of fever (temperature 103° F) and abdominal pain. She was found to have multiple liver abscesses. Her blood culture grew out Shewanella algae. We herein report on this rare human bacterial infection.

Recurrent Right-sided Massive Pleural Effusion of Pancreatic Etiology

2016 ◽  
Vol 2 (4) ◽  
pp. 62-64
Author(s):  
Sunayana S Nagendra
Keyword(s):  
Chronic Pancreatitis ◽  
Pleural Effusion ◽  
Rare Case ◽  
Clinical Symptoms ◽  
Fistulous Tract ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Amylase Level ◽  
Massive Pleural Effusion ◽  
Uncommon Condition ◽  
Symptoms And Signs

ABSTRACT Pleural effusion secondary to chronic pancreatitis is an uncommon condition accounting for less than 1% of patients. Patients are alcoholic but only 50% of patients have clinical symptoms and signs of previous pancreatitis. Symptoms are predominantly respiratory than abdominal. Raised pleural fluid amylase level in hemorrhagic fluid is diagnostic of pancreatic pleural effusion. Presence of pancreaticopleural fistula (PPF) can be demonstrated by computed tomography (CT) imaging or magnetic resonance cholangiopancreatography (MRCP), but these imaging methods sometimes fail to demonstrate fistulous tract. Herewith, we are presenting a rare case of recurrent right-sided massive pleural effusion secondary to chronic pancreatitis. How to cite this article Nagendra SS, Patil MB. Recurrent Right-sided Massive Pleural Effusion of Pancreatic Etiology. J Med Sci 2016;2(4):62-64.

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