Exam questionKROK 1Medicine ยท 2014
A patient underwent surgical removal of a cavitary liver lesion 2 cm in diameter. It was revealed that the cavity wall was formed by dense fibrous connective tissue; the cavity contained muddy, thick, yellowish-greenish fluid with an unpleasant odor. Microscopically, the fluid consisted mainly of polymorphonuclear leukocytes. What pathological process are these morphological changes typical for?
Answer options
- Chronic abscess
- Acute abscess
- Phlegmon
- Empyema
- -
Correct answer
Chronic abscess
Explanation
In chronic abscess, there are formations of the cavity while there is none in acute. The size and other signs (dense fibrous connective tissue wall) show it is an abscess(i.e. both empyema and phlegmon are much larger in size).
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