J Korean Radiol Soc.  1994 Jul;31(1):131-133.

Hepatic Microabscess with Ascending Cholangitis Complicated by Endoscopic Retrograde Cholangiopancreatogram (ERCP): A Case Report

• Kim MY
• Lee MG
• Auh YH

Abstract

Complicated hepatic microabscess secondary to ascending cholangitis following ERCP (Endoscopic retrograde cholangiopancreatogram) is rare, and needs to be differentiated from other microabscesses, metastasis or Caroli's disease. We experienced a case of hepatic microabscess associated with septic cholangitis following ERCP. Cholangiogram showed multiple sac-like abscess pockets with characteristic biliary communication, and CT scan revealed multiple low attenuated lesions. At the resolving stage of chotangitic microabscess, CT scan showed partial rim enhancement of the abscesses and disproportional dilatation of intrahepatic ducts. The residual parenchymal enhancement surrounding the resolved microabscess pockets and dilatated biliary ducts, however, remained even after clinical recovery.

MeSH Terms

Abscess
Caroli Disease
Cholangiopancreatography, Endoscopic Retrograde
Cholangitis*
Dilatation
Neoplasm Metastasis
Tomography, X-Ray Computed