Abdominal wall abscess secondary to spontaneous rupture of pyogenic liver abscess

Zizzo, Maurizio; Zaghi, Claudia; Manenti, Antonio; Luppi, Davide; Ugoletti, Lara; Bonilauri, Stefano

doi:10.1016/j.ijscr.2016.06.026

Cited by 7 publications

(10 citation statements)

References 16 publications

(32 reference statements)

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“…8 In another case, ruptured PLA measuring 12 cm ×14 cm×7 cm was treated with antibiotics and PCD; however, it was localized in the neighboring tissues. 16 In the present case, the abscess size was 17 cm in diameter. Although the abscess size was large and was accompanied by peritonitis with rupture, antibiotic therapy and PCD were administered instead of surgical treatment, considering the patient's age and poor general condition.…”

mentioning

confidence: 44%

Successful Medical Treatment for Peritonitis Resulting from a Large Pyogenic Liver Abscess Rupture

Myung

Ryu

Liu

et al. 2021

Korean J Gastroenterol

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mentioning

confidence: 44%

Successful Medical Treatment for Peritonitis Resulting from a Large Pyogenic Liver Abscess Rupture

Myung

Ryu

Liu

et al. 2021

Korean J Gastroenterol

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“…Pyogenic liver abscess is a common infectious disease worldwide relating to a mortality rate ranging between 15 and 19 % [ 6 , 7 ]. Gas-forming pyogenic liver abscess remains one of the most dangerous complication with a high fatality rate in spite of aggressive management [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Unusual pneumoperitoneum secondary to ruptured liver abscess-A case report

Nagamallesh

Harish

2021

International Journal of Surgery Case Reports

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Highlights Pneumoperitoneum secondary to ruptured gas containing pyogenic liver abscess is rare. Klebsiella is frequently associated with gas-forming abscesses. Ultrasound and CT are the mainstays of diagnostic modalities for hepatic abscess. Surgery is essential to drain the abscess and to clean the contaminated abdominal cavity for a ruptured abscess.

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“…Pyogenic liver abscess (PLA) is a common infectious disease worldwide relating to a mortality rate ranging between 15 and 19% [15,18]. Gas-forming pyogenic liver abscess (GFPLA) remains one of the most dangerous complication with a high fatality rate in spite of aggressive management [10].…”

Section: Discussionmentioning

confidence: 99%

“…Pyogenic liver abscess (PLA) is important cause of hospitalization and life threatening disease in low-middle income countries [ 6 , 18 ]. Spontaneous gas-forming pyogenic liver abscess (GFPLA) is a rare complication with a high fatality rate in spite of aggressive management [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Ruptured liver abscess presenting as pneumoperitoneum caused by Klebsiella pneumoniae: a case report

et al. 2020

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Background Spontaneous gas-forming pyogenic liver abscess (GFPLA) is a rare complication with a high fatality rate in spite of aggressive management. Clinical spectrum of GFPLA can mimic hollow viscus perforation as it usually accompanied by pneumoperitoneum and peritonitis. Up to now, GFPLA has not been well studied in Vietnam. Case presentation We reported here a case with pneumoperitoneum caused by ruptured liver abscess in a 41-year-old man with a history of treated duodenal ulcer and uncontrolled type II diabetes mellitus. He had an epigastric pain associated with a high fever. Patient was diagnosed peritonitis and pneumoperitoneum presumed to be secondary to perforation of a hollow viscus and subjected to emergency laparotomy. We did not find any gastrointestinal perforation. Surprisingly, we detected a 4 cm × 4 cm pus-containing abscess in the left liver lobe of the liver. The abscess was ruptured. Pus was running into abdominal cavity through one hole. The abscess and abdominal cavities were cleaned up and abscess and abdominal drainages were performed. K. pneumoniae was isolated from culture of the abscess. The histopathological examination of the abscess did not yield any evidence of malignancy. Blood glucose levels were controlled. Antibiotic therapy was used according to antibiogram. A reassessment chest X-ray showed no air-fluid level or subdiaphragmatic air by the hospital day 14. Patient eventually made a full recovery and was discharged home 23 days after the operation. Conclusions Ruptured GFPLA is a life-threatening complication. It is usually accompanied by peritonitis and pneumoperitoneum and can imitate hollow viscous perforation. In these cases, CT scan should be performed whenever it is possible to make a correct diagnosis. When the abscess has small size, partial hepatectomy might not be necessary and could be replaced by a careful cleaning and drainage of the abscess. Patient could show a good postoperative recovery following an appropriate antibiotic therapy.

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Abdominal wall abscess secondary to spontaneous rupture of pyogenic liver abscess

Cited by 7 publications

References 16 publications

Successful Medical Treatment for Peritonitis Resulting from a Large Pyogenic Liver Abscess Rupture

Successful Medical Treatment for Peritonitis Resulting from a Large Pyogenic Liver Abscess Rupture

Unusual pneumoperitoneum secondary to ruptured liver abscess-A case report

Ruptured liver abscess presenting as pneumoperitoneum caused by Klebsiella pneumoniae: a case report

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