When Gas Invades the Liver

An 82-year-old man with diabetes presents with fever and confusion. LFTs are sky-high, and a CT Scan reveals a shocking finding within the liver.

Emphysematous hepatitis


An 82-year-old man with diabetes presented to the emergency department with fever and confusion. Liver function test showed aspartate aminotransferase level of 1380 u/l (reference range, 5 to 40) and alanine aminotransferase level of 1121 u/l (reference range, 5 to 40). A computed tomographic scan of the abdomen was performed. What is the most likely diagnosis?

What is the most likely diagnosis?

Acute hepatic necrosis
Cholecystoduodenal fistula
Emphysematous hepatitis
Pyogenic liver abscess
Ruptured hydatid cyst

Diabetes Mellitus, Emphysematous hepatitis, Klebsiella pneumoniae, Liver Abscess, Sepsis

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