Pyogenic liver abscess (PLA) is a serious condition which uncommon condition in otherwise normal children. Predisposing factors include neutrophil function disorders, abdominal surgery and a history of traveling to certain areas of the world. Percutaneous drainage and antimicrobial therapy are the most common management modalities. Identification of the causative organism is important in the selection of antimicrobial therapy. We present a patient with PLA and extensive subhepatic and retroperitoneal collection 4 months after appendectomy. In addition we reviewed 7 cases of liver abscess in children < 15 years, admitted to our hospital in a 22-year period.
