Abdominal pain and fever in young women. Advantages of abdominal ultrasound in the EF

Abstract

Results a 20 year old woman with no history of relevance, came to the emergency room with fever of 1 month duration and abdominal pain that persists after analgesic treatment. On arrival had malaise, hypotensive, febrile, tachycardic to 110 sqm, oriented in all three spheres, with no cardiorespiratory examination findings. Nontender abdomen, without peritonitis. The rest of the examination was irrelevant. Laboratory tests showed leukocytosis and neutrophilia, and abdominal and chest radiography was usual. She underwent a bedside abdominal ultrasound, que injury showed a complex, heterogeneous, poorly defined right hepatic lobe inside anechoic and echogenic materials, 70 x 85 mm, compatible with liver abscess at this level and confirmed by abdominal CT. Developments after starting antibiotic therapy after early crops, and subsequent percutaneous drainage thereof, was satisfactory, with total resolution, remaining asymptomatic.