Introduction:

liver abscess is a collection of pus surrounded by a fibrous capsule, of high morbidity and mortality rates in the world. It has an incidence of approximately 20 per 100,000 inhabitants and a mortality of 5 % to 30 %.

Objective:

to present a case of rupture of liver abscess in the abdominal cavity associated with cholelithiasis.

Case report:

a 65-year-old female patient was admitted to the emergency general surgery department after a month of pain in the right hypochondriac region accompanied by copious vomiting and asthenia. Physical examination revealed jaundice, tachycardia, tachypnea, intense pain in the right hypochondriac region with defense and peritoneal reaction (positive Murphy's score). It was decided to take the patient to the operating room, finding ruptured liver abscess associated with vesicular lithiasis and fibrinopurulent peritonitis, a sample was taken for culture, a thorough neck cholecystectomy was performed, washing of the abdominal cavity and hepatic craters. Subhepatic drainage was left. Evolution was satisfactory.

Conclusions:

peritoneal lavage, cholecystectomy and broad spectrum antibiotic therapy is an effective therapeutic alternative in patients with ruptured pyogenic liver abscess with cholelithiasis.

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