{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T07:55:40Z","timestamp":1774511740604,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pyogenic liver abscess is a rare and under\u2010recognized complication of gangrenous or perforated appendicitis in children. Management typically requires a combination of antibiotic therapy and abscess drainage. Although uncommon in the pediatric population, pyogenic liver abscess is more frequently observed in the elderly people. With an aging population, it is increasingly important for young physicians to recognize its clinical presentation and treatment strategies. This report describes an 11\u2010year\u2010old boy admitted with fever, impaired consciousness, nausea, and vomiting\u2014initially raising concern for meningitis. A CT scan revealed a hepatic abscess and findings consistent with acute appendicitis. Following multidisciplinary consultation, the patient underwent percutaneous drainage of the liver abscess and an appendectomy. His postoperative course was uneventful, and he was discharged with a liver drain in place. Given the limited reliability of history and physical examination in pediatric patients with septic shock\u2014especially in emergency settings\u2014clinicians must maintain a broad differential diagnosis.<\/jats:p>","DOI":"10.1002\/ccr3.72037","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:04:42Z","timestamp":1772985882000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pyogenic Hepatic Abscess as a Complication of Appendicitis: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"given":"Mohammad","family":"AshrafAzimi","sequence":"first","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine North Khorasan University of Medical Sciences  Bojnord Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbas","family":"Abdollahi","sequence":"additional","affiliation":[{"name":"Endoscopic and Minimally Invasive Surgery Research 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