Right Hypochondrial Abscess in a Middle-Aged Diabetic Woman: A Case Report

Abstract Introduction and importance: Hypochondrial abscesses are rare intra-abdominal abscesses often diagnosed with computed tomography (CT). In resource-limited settings, ultrasound may be used instead. Case Presentation: A 52-year-old diabetic woman presented with abdominal pain and fever. Abdominal ultrasound showed a multiloculated abscess in the right hypochondrial region. She underwent ultrasound-guided percutaneous drainage and was treated with antibiotics as per culture sensitivity. Clinical Discussion: Hypochondrial abscesses are rare, accounting for only 1–4% of intra-abdominal abscesses. Risk factors include diverticulitis, appendicitis and diabetes mellitus. Ultrasound can accurately diagnose abscesses when CT is unavailable. Percutaneous drainage with subsequent antibiotics is the standard treatment approach. Conclusion: This case demonstrates that hypochondrial abscess can be diagnosed and managed with ultrasound guidance and percutaneous drainage when CT is unavailable, with excellent treatment outcome achieved.