Case Presentation: A 92-year-old female with past medical history of hypertension presented to the emergency department with pain in her right shoulder, right flank, and right upper quadrant of her abdomen. Point-of-care ultrasound (POCUS) and computed tomography imaging showed concerns for multiple large hepatic abscesses. Percutaneous drainage removed 240 milliliters of purulent fluid that identified Fusobacterium nucleatum, a rare cause of pyogenic liver abscess.
Discussion: Emergency physicians should keep hepatic abscess on their differential for right upper quadrant abdominal pain and can use POCUS for expeditious diagnosis.
","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Point-of-care ultrasound; hepatic abscess; pyogenic liver abscess"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1x67h2fs","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Blomquist","name_suffix":"","institution":"Rocky Vista University of Osteopathic Medicine, Parker, Colorado","department":""},{"first_name":"Taz","middle_name":"","last_name":"Brinkerhoff","name_suffix":"","institution":"Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona","department":""},{"first_name":"David","middle_name":"","last_name":"Weech","name_suffix":"","institution":"Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona","department":""},{"first_name":"Heesun","middle_name":"","last_name":"Choi","name_suffix":"","institution":"Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona; University of California, Irvine, Department of Emergency Medicine, Orange, California","department":""}],"date_submitted":"2023-04-11T18:30:03.432000Z","date_accepted":"2023-04-11T18:41:27.564000Z","date_published":"2023-05-31T16:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1299/galley/1015/download/"}]}