E Grossmann1, S Hancke. 1. Dept. of Radiology and Ultrasound, Amtssygehuset i Gentofte, Hellerup, Denmark.
Abstract
BACKGROUND: Polycystic liver disease is a relatively uncommon congenital condition. Infections of these cysts do occur, but there are no reports of salmonella as the aetiologic agent. Salmonellosis, complicating hydatid disease of the liver has been described. CASE: A patient with a long-standing polycystic liver disease suddenly developed an infection of one of the cysts, caused by Salmonella javiana. Under sonographic guidance a percutaneous drain was inserted into the cyst, followed by systemic antibiotic treatment and, later, intracystic instillation of tetracycline. CONCLUSION: The sclerosing treatment was successful, thus preventing laparotomy.
BACKGROUND:Polycystic liver disease is a relatively uncommon congenital condition. Infections of these cysts do occur, but there are no reports of salmonella as the aetiologic agent. Salmonellosis, complicating hydatid disease of the liver has been described. CASE: A patient with a long-standing polycystic liver disease suddenly developed an infection of one of the cysts, caused by Salmonella javiana. Under sonographic guidance a percutaneous drain was inserted into the cyst, followed by systemic antibiotic treatment and, later, intracystic instillation of tetracycline. CONCLUSION: The sclerosing treatment was successful, thus preventing laparotomy.