# Liver Abscess

**URL:** <https://forum.livingwithpsc.org/t/liver-abscess/493>\
**Category:** Symptoms & Treatment\
**Created:** [November 21, 2014, 1:48am UTC](https://forum.livingwithpsc.org/t/liver-abscess/493 "2014-11-21T01:48:52Z")\
**Posts on this page:** 7\
**Page:** 1

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**Author:** ![Alix](https://sea1.discourse-cdn.com/flex019/user_avatar/forum.livingwithpsc.org/alix/32/247_2.png) [@Alix](https://forum.livingwithpsc.org/u/Alix)\
**Post date:** [November 21, 2014, 1:48am UTC](https://forum.livingwithpsc.org/t/liver-abscess/493/1 "2014-11-21T01:48:52Z")

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Something else to add to the fun... and I can expect it to recur. Just out of hospital x 10 day stay after drainage of large abscess on liver. IV antibiotics in hospital and now on 6 weeks further IV antibiotics at home - continuous infusion, machine in fanny pack. This all followed 3 weeks of med to high fevers/chills, pain in different spot than usual and 2 ER visits where abscess was not detected and I was sent home. Finally, ultrasound and immediate urgent CT got me admitted pronto to hospital. At that point the abscess had created a visible bump on the abdomen. With 4x a year ERCP/stent change and stent (foreign body) inviting bacteria, this can now be expected as a recurring added attraction to the joys of PSC. Any of you had a liver abscess??

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**Author:** ![Priya\_P](https://sea1.discourse-cdn.com/flex019/user_avatar/forum.livingwithpsc.org/priya_p/32/720_2.png) [@Priya\_P](https://forum.livingwithpsc.org/u/Priya_P)\
**Post date:** [November 22, 2014, 7:56pm UTC](https://forum.livingwithpsc.org/t/liver-abscess/493/2 "2014-11-22T19:56:41Z")

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I'm sorry to hear of your recent troubles Alix. I've not had much experience with liver abscesses myself. I don't know how normal it is in PSC. It would be interesting to hear from others if they have had similar problems. I do hope you get better soon. Wishing you good health.. take care, Priya

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**Author:** ![Ruby](https://sea1.discourse-cdn.com/flex019/user_avatar/forum.livingwithpsc.org/ruby/32/590_2.png) [@Ruby](https://forum.livingwithpsc.org/u/Ruby)\
**Post date:** [November 22, 2014, 8:04pm UTC](https://forum.livingwithpsc.org/t/liver-abscess/493/3 "2014-11-22T20:04:51Z")

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Hi Alex  
I am sorry that you had to go through another big scare and crazy treatment!

I am also struck with the difference in our treatment. I was diagnosed late in the game, but still, during the 2 years after diagnosis, before the transplant, I had one biopsy, one ERCP and no stents? I did have many scopes to band the bleeding veins in the oesophagus.

Is this a regional or Canada/US difference?

Another reason I ask is because my enzymes are bouncing around above normal. I have an ultra sound (only) booked to see if the PSC is returning.

With ERCP and stents having so many risks, are you on an active transplant list?

Thanks  
Ruby

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**Author:** ![Fly\_Lady](https://sea1.discourse-cdn.com/flex019/user_avatar/forum.livingwithpsc.org/fly_lady/32/789_2.png) [@Fly\_Lady](https://forum.livingwithpsc.org/u/Fly_Lady)\
**Post date:** [November 22, 2014, 10:21pm UTC](https://forum.livingwithpsc.org/t/liver-abscess/493/4 "2014-11-22T22:21:00Z")

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Are you saying they did not remove the stint. I had one placed 5 years ago and it was removed in 30 days. That was also recently confirmed as the proper procedure by another hepatology cinic where I recently moved. I was advised that a stint needs to be removed after 30 days or they get plugged up.

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**Author:** ![Alix](https://sea1.discourse-cdn.com/flex019/user_avatar/forum.livingwithpsc.org/alix/32/247_2.png) [@Alix](https://forum.livingwithpsc.org/u/Alix)\
**Post date:** [November 22, 2014, 10:26pm UTC](https://forum.livingwithpsc.org/t/liver-abscess/493/5 "2014-11-22T22:26:48Z")

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Thanks Priya.

Fly Lady - the jury seems to be out on how long a stent should be left in. In my case, 3 or so mths is the limit, last done in late Oct. Sometimes they're left for 6 mths or longer. Depends on the situation and the doc I guess.

Ruby - no regional or Canada/US difference in tx, you and I both from BC.. I've got to have stent(s)/ERCP as my bile ducts are stenotic and beaded - and a sludgy bile makes for the perfect storm. Stent changes necessary every 3 or so mths, otherwise cholangitis and/or obstruction episodes. And now with risk of rpt abscess.. was told am between a rock and a hard place. I've had the preassessment for liver transplant and until I develop symptoms like ascities and HE... am not on active transplant list yet, particularly with very low MELD score at this point and liver function reasonably decent. So I carry on as is for the time being, never entirely sure if I'm closer to the rock or the hard place..

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**Author:** ![fcmmark](https://sea1.discourse-cdn.com/flex019/user_avatar/forum.livingwithpsc.org/fcmmark/32/2189_2.png) [@fcmmark](https://forum.livingwithpsc.org/u/fcmmark)\
**Post date:** [November 23, 2014, 12:14am UTC](https://forum.livingwithpsc.org/t/liver-abscess/493/6 "2014-11-23T00:14:17Z")

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Alix,

So sorry to hear of your recent hospitalizations and treatments for this infection. I suspect as well it's those stents causing the possibility of infection to occur. My doctor is so concerned about using stents that after 4 ERCP's now he still will not put one. My most recent ERCP's were just two months apart. I wish you well in your recovery. Are you on URSO to help with bile thinning? I take 1200 MG a day and it does help keep that somewhat controlled.

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**Author:** ![Alix](https://sea1.discourse-cdn.com/flex019/user_avatar/forum.livingwithpsc.org/alix/32/247_2.png) [@Alix](https://forum.livingwithpsc.org/u/Alix)\
**Post date:** [November 23, 2014, 12:32am UTC](https://forum.livingwithpsc.org/t/liver-abscess/493/7 "2014-11-23T00:32:23Z")

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Yup - on Urso for last 3 yrs. I've obstructed a few times with plugged stents as well as with no stent. Not a whole lot of options here unfortunately.
