Liver Abscess in a Term Baby: A Case Report and Review of Literature

Rahman, Sajjad Ur; Ghalib, Abid; Abdulghani, Muhammad Hasan; Jan, Abdullah

doi:10.2991/dsahmj.k.190521.001

Cited by 4 publications

(13 citation statements)

References 11 publications

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“…Ultrasound is the investigation of choice in pediatric patients for liver abscess and it can be used for monitoring the response as well as ultrasonic guidance of aspiration [10] . Abdominal US has been the first line investigation that can detect, locate, and define a liver abscess [4] . Portal vein thrombosis, portal cavernoma formation, and portal hypertension are known complications of neonatal liver abscess [4] .…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal US has been the first line investigation that can detect, locate, and define a liver abscess [4] . Portal vein thrombosis, portal cavernoma formation, and portal hypertension are known complications of neonatal liver abscess [4] . The treatment consists of correcting the predisposing factor (e.g., withdrawal of the umbilical catheter), percutaneous drainage with or without ultrasound guidance, or open drainage of the abscess affecting multiple lobes of the liver [5,8] .…”

Section: Discussionmentioning

confidence: 99%

“…Hepatic Abscess is a rare disorder in the neonatal period of life with high mortality and morbidity [6] . To the best of our knowledge till date around 100 neonates with hepatic abscess have been reported in literature [4] . Newborns with low gestational age, low birth weight, underwent invasive procedure, infection and on total parental nutrition are high risk candidates for hepatic abscess [1] .…”

Section: Introductionmentioning

confidence: 99%

“…The route of spread can be by ascending infection by umbilical venous catheterisation and portal vein, hematogenous spread by biliary tree and by direct contagious spread [2,7] . Hepatic abscess can be solitary or multiple and can be associated with other organs such as spleen, brain and lungs [4] . Left lung consolidation was also associated with hepatic abscess in our case.…”

Section: Introductionmentioning

confidence: 99%

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Case report of hepatic abscess with lung consolidation in a neonate: A rare entity

Jain¹,

Ghai²,

Mohapatra³

et al. 2021

Int. J. Paediatrics Geriatrics

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Neonatal liver abscess is an uncommon finding and very few cases have been reported till date. A 36+5 week near term neonate presented with clinical symptoms of sepsis, convulsion on day 3 of life and hepatomegaly with history of birth asphyxia, chorioamnionitis and oligohydrominos. The baby was diagnosed with liver abscess with left lung consolidation by radiological investigations and the abscess was aspirated under Ultrasound-Guided and treated with antibiotics. The liver abscess resolved on follow up and the baby was discharge healthy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Case report of hepatic abscess with lung consolidation in a neonate: A rare entity

Jain¹,

Ghai²,

Mohapatra³

et al. 2021

Int. J. Paediatrics Geriatrics

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“…have also been published Candida (4). These microorganisms may enter the liver and produce an abscess by four possible mechanisms: (1) an ascending infection via the umbilical and portal veins; (2) hematogenous spread; (3) ascending infection via the biliary tract; and (4) by direct contiguous spread from neighboring organs (3)(4)(5)(6). Clinical featuresare non-specific and include septic appearance, fever, intolerance to feeding, vomiting, abdominal distention, abdominal tenderness, and hepatomegaly.A raised diaphragm is the only useful sign on plain thoracic and abdominal X-rays.…”

Section: Liver Abscesses In a Neonatementioning

confidence: 99%

Liver Abscesses in a Neonate

Nanda¹,

Bhatnagar²,

Khan³

et al. 2022

Annals of Pediatric Gastroenterology &Amp; Hepatology

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A rare case report on neonatal complications from Nepal: solitary neonatal hepatic abscess

Yogi

Basnet

Thapa

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Neonatal liver abscess is a rare condition with a high mortality rate. However, in a low-resource setting, high clinical vigilance and the use of readily accessible diagnostic modalities can help in early diagnosis and, along with appropriate medical management, prevent lethal complication. Case presentation: We present the case of a patient who presented with one day of sudden abdominal distension and two episodes of projectile nonbilious vomiting. A solitary liver abscess was diagnosed using ultrasonography and contrast-enhanced computed tomography findings, and the patient was treated conservatively with parenteral broad-spectrum antibiotics. Following the completion of the antibiotic dose, an ultrasound of the abdomen reveals that the size of the liver abscess has decreased. Clinical discussion: Neonatal liver abscess is a rare clinical condition that causes significant morbidity and mortality in premature and term babies. In a neonate with potential risk factors, a high index of suspicion is required to make the diagnosis. Baseline tests, as well as computed tomography with or without contrast, aid in the definitive diagnosis of a hepatic abscess. For management, a multidisciplinary approach should be considered, including correction of the predisposing factor as well as appropriate medical and/or surgical intervention. Conclusion: Neonatal liver abscess is frequently overlooked due to its rarity. Thus, whenever a neonate exhibits the aforementioned clinical spectrum, it should be considered in the differential diagnosis, and a diagnostic workup and treatment should be initiated as soon as possible to avoid debilitating complications.

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Liver Abscess in a Term Baby: A Case Report and Review of Literature

Cited by 4 publications

References 11 publications

Case report of hepatic abscess with lung consolidation in a neonate: A rare entity

Case report of hepatic abscess with lung consolidation in a neonate: A rare entity

Liver Abscesses in a Neonate

A rare case report on neonatal complications from Nepal: solitary neonatal hepatic abscess

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