Old male at ER C/O right abdominal pain, fever, anorexia, weight loss, tenderness in right quadrant and lower intercostal margins, and the patient appears toxic. Temp. 37.9, WBC hi... Old male at ER C/O right abdominal pain, fever, anorexia, weight loss, tenderness in right quadrant and lower intercostal margins, and the patient appears toxic. Temp. 37.9, WBC high, bilirubin high. US shows cystic lesion without septates, CT shows homogeneous and thick wall with peripheral enhancement. What's the most appropriate management?
Understand the Problem
The question is asking about the most appropriate management option for an elderly male patient presenting with right abdominal pain and other associated symptoms suggesting a potential gallbladder issue, based on imaging findings.
Answer
Percutaneous drainage.
Percutaneous drainage is the most appropriate management for a cystic lesion with the described characteristics of a homogeneous and thick wall with peripheral enhancement, suggestive of an abscess.
Answer for screen readers
Percutaneous drainage is the most appropriate management for a cystic lesion with the described characteristics of a homogeneous and thick wall with peripheral enhancement, suggestive of an abscess.
More Information
The clinical presentation and imaging findings suggest a liver abscess. Percutaneous drainage is preferred for management to reduce infection risk and provide relief.
Tips
A common mistake is confusing this presentation with acute appendicitis or another intra-abdominal condition. Always correlate clinical findings with imaging results.
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