Asymptomatic Liver Abscesses Mimicking Metastases in Patients after Whipple Surgery: Infectious Complications following Percutaneous Biopsy—A Report of Two Cases
Figure 2
(a) Patient with history of pancreatic adenocarcinoma status after pancreaticoduodenectomy. Axial contrast-enhanced CT image obtained a few weeks after surgery showed three new liver lesions. This lesion in segment 8 has “double target sign” with three discrete layers (arrows). (b) Oblique image from ultrasound guided needle biopsy demonstrates another “double target sign” lesion in segment 6. (c) Biopsy needle within the segment 6 lesion. (d) Histologic examination of core specimens shows abundant neutrophils admixed with reactive fibroblasts. (e) Contrast-enhanced CT image three months after biopsy shows resolution of liver lesions. The area of the segment 8 lesion shown on (a) is marked by an arrow.
