Bansal Mohit, Dalal Poonam, Kadian Yogender, Malik Navneeti
Senior Resident, Department of Pediatrics, PGIMS, Rohtak, Haryana, India.
Professor, Department of Pedaitrics, PGIMS, Rohtak, Haryana, India.
Trop Doct. 2019 Oct;49(4):320-322. doi: 10.1177/0049475519864749. Epub 2019 Jul 23.
Liver abscesses, either pyogenic or amoebic, with or without the involvement of the pleura, are not infrequently encountered in children. Isolated tubercular liver abscess without active pulmonary, gastrointestinal or other clinical evidence of tuberculosis is, however, rare and more so its rupture into the pleura. We report a case of a 14-year-old girl who presented with a liver abscess rupturing into the pleura causing an empyema. Successful management was achieved by intercostal tube drainage and antitubercular treatment.
肝脓肿，无论是化脓性还是阿米巴性的，无论有无胸膜受累，在儿童中并不少见。然而，孤立性结核性肝脓肿，无活动性肺结核、胃肠道结核或其他结核病临床证据的情况罕见，其破入胸膜更为罕见。我们报告一例14岁女孩，其肝脓肿破入胸膜导致脓胸。通过肋间置管引流和抗结核治疗成功治愈。
