Anterior abdominal wall abscess secondary to spontaneous rupture of liver abscess in a resource-limited, rural, surgical setting: A case report

  • Royson Dsouza Ashwini, Gudalur Adivasi Hospital
  • Dr. Mrudula Rao Ashwini, Gudalur Adivasi Hospital
  • Dr. Harshad Arvind Vanjare Christian Medical College Hospital Vellore
  • Manbha Rymbai Christian Medical College and Hospital, Vellore
Keywords: Liver abscess, minimally invasive surgery, limited-resource settings, percutaneous drainage, Spontaneous rupture


Liver abscess continues to be a major surgical burden in low and mid-low-income countries like India. Spontaneous rupture into the anterior abdominal wall is an uncommon presentation of pyogenic liver abscess. A 53-year-old diabetic lady with a past history of laparoscopic cholecystectomy presented with acute pain in the right upper quadrant. On examination, she had an anterior abdominal wall abscess with tender hepatomegaly. On further evaluation with ultrasonography and plain computed tomography, a diagnosis of liver abscess in the right lobe with rupture into the anterior abdominal wall was made. She was treated successfully in a tribal secondary care hospital with USG guided aspiration followed by surgical drainage under local anesthesia. This case report highlights that a considerable number of patients with liver abscess and its complications can be appropriately managed in resource-limited rural surgical centers. The patient’s clinical presentation, investigations, and management have been discussed with a relevant review of the literature.  

Author Biographies

Royson Dsouza, Ashwini, Gudalur Adivasi Hospital

MBBS, MS, Consultant Surgeon, Ashwini Gudalur Adivasi Hospital, The Nilgiris, Tamil Nadu, India

Dr. Mrudula Rao, Ashwini, Gudalur Adivasi Hospital


Dr. Harshad Arvind Vanjare, Christian Medical College Hospital Vellore

MBBS, MD, Associate Professor, Department of Radiology, Christian Medical College and hospital Vellore, India

Manbha Rymbai, Christian Medical College and Hospital, Vellore

MBBS, MS, MCH, Department of Hepatobiliary Surgery, Christian Medical College and Hospital, Vellore, India


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How to Cite
Dsouza, R., Rao, D. M., Vanjare, D. H. A., & Rymbai, M. (2021). Anterior abdominal wall abscess secondary to spontaneous rupture of liver abscess in a resource-limited, rural, surgical setting: A case report. Christian Journal for Global Health, 8(1), 72-77.