Ultrasound in pyogenic liver abscess in diabetic

Ojectives: Evaluate different echographic aspects pyogenic liver abscess in diabetic patients, and compare them with those described in the literature in non-diabetic. Materials and Methods: A retrospective study over a period of 10 years of the records of diabetic patients with pyogenic liver abscess who underwent an abdominal ultrasound study. Results: The mean age of patients was 57±16.7 years old with a male predominance. All patients had type 2 diabetes. The clinical signs were mainly the right upper quadrant pain, hepatomegaly, impaired general condition and fever. The right liver was the most affected. The ultrasound appearances were polymorphic, mostly anechoic and heterogeneous. Rupture of abscesses into the abdominal cavity was noted in two patients, which requiring surgical treatement. Treatement consisted in insulinotherapy and antibiotherapy. The evolution was favorable in all cases. Conclusion: The ultrasound appearances of hepatic abscesses in diabetics are polymorphic and depend on the evolutionary stage. They do not differ from those reported in the literature in non-diabetics. © Springer-Verlag France 2012.