Presentation and Management of Pyogenic Liver Abscess in a 23-Week Pregnant Woman

Abstract EN

Pyogenic liver abscess during pregnancy is an extremely rare condition.

We report a case of 33-year-old, 23-week pregnant woman with pyogenic liver abscess.

She was still in the hospital for medical observation of fever, when a sudden episode of tachycardia with a pulse of 210 beats per minute and tachypnea with a respiratory rate of 30 breaths per minute was encountered.

At that moment, her fever was 39.6°C (103.28 Fahrenheit).

The abdominal ultrasound stated a calcific echogenic mass with a measure of 6 cm in the liver region.

Given the sonographic characteristics noted, a liver abscess was suspected.

Our case was successfully treated with an ultrasound guided percutaneous aspiration of the abscess and a wide spectrum antibiotic.

At 38 weeks of gestation, an elective cesarean delivery was performed.

The female neonate weighed 3200 g with APGAR scores of 9 and 9 at the first and fifth minutes, respectively.