Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 49: Primary Hepatic B-Cell Lymphoma Masquerading as a Liver Abscess (continued)

Ghazaleh Aram, MD

An 81-year-old man presented with recurrent fevers and a computed tomography (CT) scan revealing a large liver lesion thought to be a hepatic abscess. He had a percutaneous drain placed into this lesion prior to his arrival at Johns Hopkins. There was no output from the drain, however. The patient reported ongoing fevers, diarrhea, and an episode of E. coli sepsis 1 month prior to presentation. Endoscopic retrograde cholangiopancreatography (ERCP) revealed no evidence of biliary obstruction. Past medical history was remarkable for myasthenia gravis with chronic immunosuppressive therapy…