Image Based Question-67181

 Pus collection shown in Photograph is typical of

A. Hydatid cyst.

B. Cold abscess.

C. Pyogenic liver abscess.

D. Amoebic liver abscess.

Correct Answer » D Explanation

Amoebic liver abscess (Anchovy sauce pus)

• It may be single large abscess or multiple, and may involve both lobes.
• Amoebic liver abscess is more common in right posterior-superior region because the portal vein is in direct continuation with the right tributary. It can be multiloculated.
• Pus is chocolate coloured, classically called as anchovy-sauce, contains dead liver cells, RBCs, WBCs, necrotic material. Pus may be green due to bile admixture.