Pus filled area in the liver. Usually develops following peritonitis due to leakage of intraabdominal bowel contents that subsequently spread to liver via the portal circulation or via direct spread from biliary infection. It may also result from arterial hematogenous seeding in the setting of sepsis or from direct trauma to the liver or instrumentation.
--Lower right chest pain or RUQ abdominal pain
--nausea, vomiting, anorexia
--CBC, CMP, LFTs, bilirubin, blood culture
--abdominal CT with IV contrast