Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 5 Issue 6

Hepatic Abscess: Presentation of Two Cases Hepatic Absceso: Presentation of Two Case Reports

Danny Fernando Silva Cevallos1*, Linda Quinteros Pacheco2, Kevin Anthony Suarez Reyes2, Juan Salazar Flores3, Diana Salazar Flores4, Jhuleydi Cumanda Chuncho Romero5, Edison Pascual Moreno Rivas1 and Fernando Silva Michalon1

1Department of Internal Medicine/Emergency Medicine, Guayaquil Hospital Clinic/ University Guayaquil, Guayaquil, Ecuador
2General Practitioner Clinical Hospitalization Service Guayaquil, Guayaquil, Ecuador
3University of Guayaquil, Guayaquil, Ecuador 4General Practitioner Internal Medicine Service Clinic Guayaquil/Uess, Guayaquil, Ecuador
5General Practitioner, Edison Pascual Moreno Rivas, Specialist in Critical Medicine and Intensive Care Clinica Guayaquil/Uess, Guayaquil, Ecuador

*Corresponding Author: Danny Fernando Silva Cevallos, Department of Internal Medicine/Emergency Medicine, Guayaquil Hospital Clinic/ University Guayaquil, Guayaquil, Ecuador.

Received: May 10, 2022; Published: May 27, 2022



Amoebic and/or pyogenic liver abscess is a localized process of encapsulated suppurtive material. Although it is associated with figures of mortality 2-12%, figures that are increasing perhaps due to the delay in diagnosis or treatment [1]. Amoebic liver abscess is the most common form, the most endemic areas are tropical, subtropical countries [2]. Risk factors are associated with male gender, third and fifth decade of life, alcoholism, oncological diseases, immunosuppressants.

Se classify according to their anatomical location, segment or depth, number of single or multiple lesions, portal, biliary, contiguous infection pathway. Infections are usually caused by bacteria or amoebas, although they can be caused by Equinococcus and fungi. Amoebic liver abscess and pleural empyema are serious complications of intestinal amebiasis, as well as opportunistic bacteria, requiring pharmacological treatment or surgical drainage. The amoebic liver abscess is the invasion of the liver, from an intestinal focus by Entamoeba histolytica, is produced by hematogenous dissemination, through emboles through the portal vein is 7 to 10 times more common in adult males [3].

Pyogenic liver abscess, bile duct infections such as cholangitis and cholecystitis is the most frequent cause, among other pyogenic cholangitis, intrahepatic lithiasis, parasite infections in the bile duct, in fewer incidences underlying diseases such as diverticulitis, perforated or penetrating peptic ulcer, endocarditis, foreign bodies in the wall of the colon [4]. The preferred location is in the right lobe, as a result of greater blood flow, the lesions can be single or multiple.


Keywords: Amoebic; Percutaneous Drainage; Mortality; Klebsiella Pneumoniae



  1. Castle S., et al. “Morphological Characteristics of Liver Abscesses According to their Etiology”. International Journal of Morphology 2 (2020): 406-414.
  2. Ramírez JAR., et al. “Complicated amoebic liver abscess open to the pleural cavity”. An Méd Asoc Médica Cent Méd ABC4 (2018): 293-297.
  3. Rodríguez JEC., et al. “Amoebic liver abscess with right pleural empyema. About a case”. Mediciego4 (2016): 46-52.
  4. Jury A and Daniela N. “Characterization of the clinical picture, therapeutic management and associated factors in patients diagnosed with liver abscess at the Carlos Andrade Marín Hospital during the period” (2014).
  5. Arriciaga ACR., et al. “Differential diagnosis of amoebic liver abscess”. RECIAMUC 4 (2019): 76-92.
  6. Bayeh CEH., et al. “Update on the diagnosis and treatment of liver abscesses caused by bacterial infections, literature review”. Cienc Lat Rev Scientific Multidiscip4 (2021): 4406-4415.
  7. Castillo S and Manterola C. “Morphological Characteristics of Liver Abscesses According its Etiology”. International Journal of Morphology 2 (2020): 406-414.
  8. Gudiño-Aguirre DJ., et al. “Multiple liver abscesses and infectious endocarditis caused by Streptococcus intermedius after dental infection”. Rev Esp Clinical Cases in Internal Med1 (2020): 9-11.
  9. From Oliveira D., et al. “Giant polymicrobial liver abscess. Case report”. GEN 72 (2018): 49-51.
  10. Revista Medicina_VOL5_COMPLETO (2020).
  11. Gallego-Mariño A., et al. “Pyogenic liver abscess, polycystic bag and chronic renal failure”. Rev Electronics Dr Zoilo E Mar Vidaurreta (2018).
  12. NDA Jury. “Dissertation prior to obtaining the title of specialist in gastroenterology and endoscopy (2018): 66.
  13. Baquero CAC and Baquero CAC. “Cytokines in the amoebic liver abscess: an example of immunological research in the clinical setting”. NOVA31 (2019): 97-108.
  14. JDA booksellers. “Liver microabscesses in a patient with antiphospholipid syndrome. Case report. [Liver microabscesses in a patient with antiphospholipid syndrome. Case report.]”. Rev Médica Panama (2021).
  15. Reyna-Sepúlveda F., et al. “Epidemiology and management of thoracic empyema due to liver abscess”. NCT Neumología y Cirugía de Tórax 2 (2017): 91-95.
  16. Vargas-Álvarez T and Acuña-Bolaños DR. “Liver abscess review”. Academic Record 62 (2018): 115-136.
  17. Basnuevo JG and Sotolongo F. “Treatment of amoebic liver abscess”. Rev Cuba Med1.5 (2019).
  18. Ramírez J., et al. “Management of percutaneous image-guided drainage in a third-level hospital”. Rev Colomb Cir2 (2019): 163-170.


Citation: Danny Fernando Silva Cevallos., et al. “Hepatic Abscess: Presentation of Two Cases Hepatic Absceso: Presentation of Two Case Reports". Acta Scientific Gastrointestinal Disorders 5.6 (2022): 71-75.


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