A 40-year-old man from rural Cambodia presents with multiple liver abscesses. He has a history of eating raw freshwater fish. CT shows thick-walled ab...

Question

A 40-year-old man from rural Cambodia presents with multiple liver abscesses. He has a history of eating raw freshwater fish. CT shows thick-walled abscesses with hepatic parenchymal calcification. What complication of chronic liver fluke infection is this?

Accepted Answer

Pyogenic cholangitis secondary to chronic Opisthorchis/Clonorchis infection causing biliary obstruction and bacterial superinfection

Answer

Amoebic liver abscess

Answer

Hydatid cyst rupture

Answer

Hepatocellular carcinoma

Answer

Portal vein thrombosis

uk-dtmh MCQ (SBA): Pyogenic Cholangitis from Liver Flukes

A 40-year-old man from rural Cambodia presents with multiple liver abscesses. He has a history of eating raw freshwater fish. CT shows thick-walled abscesses with hepatic parenchymal calcification. What complication of chronic liver fluke infection is this?