An Unusual Fatal Outcome of Laparoscopic Cholecystectomy: A Case Report

Osório, Catarina; Silva, Diogo; Oliva-Teles, Luís; Ferreira, Tiago Miguel; Nora, Mário

doi:10.7759/cureus.34365

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Percutaneous drainage is commonly employed for intra-abdominal abscesses. It is a safe and less invasive procedure and free from complications associated with open surgery [ 3 ]. However, there have been reports of possible complications associated with percutaneous drainage, such as fistula, pneumothorax, or bowel perforation [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the past, up to 60% of patients with splenic abscesses succumbed to the condition due to difficulties in symptom recognition and late diagnosis [ 1 ]. The risk factors for splenic abscess include metastatic infection, diabetes mellitus, trauma, malignancy, and congenital or acquired immunodeficiency [ 2 , 3 ]. It commonly arises as a consequence of infectious endocarditis, affecting approximately 5% of patients [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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The Successful Resolution of a Large Splenic Abscess With Six Years of Follow-Up and Without Recurrence

Almasaud,

Sulaiman

2024

Cureus

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Splenic abscess is an uncommon medical condition that presents many diagnostic difficulties. Although rare, this clinical disease can be potentially life-threatening, with a fatality rate exceeding 70% in immunocompromised patients. Clinical manifestations of splenic abscess include fever, tenderness in the upper left region of the abdomen, and leukocytosis with left shift. Performing abdominal ultrasonography (USG) and CT in patients presenting with clinical manifestations enables a prompt and accurate diagnosis. The treatment for splenic abscess includes medical therapy, imaging-guided drainage, and splenectomy. We discuss the case of a 60-year-old female patient who presented to our emergency department with a large splenic abscess; she was managed with an ultrasound-guided drainage catheter, which led to the successful resolution of the condition. She did not experience any recurrence during six years of follow-up. This case report aims to highlight the role of interventional radiology in managing splenic abscesses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Successful Resolution of a Large Splenic Abscess With Six Years of Follow-Up and Without Recurrence

Almasaud,

Sulaiman

2024

Cureus

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Clostridium perfringens Liver Abscess Disguised as Biliary Disease: A Report of Two Cases and a Review of the Literature

Peng¹,

Zhai²,

Li³

et al. 2023

IDR

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Liver abscesses caused by Clostridium perfringens are rare but rapidly fatal. In only a few days, patients progress from liver abscess to sepsis, intravascular hemolysis, multiple organ failure, and even death. These abscesses often occur in patients after trauma or surgery or in those with immunodeficiency. Because patients only show non-specific symptoms such as fever and abdominal pain in the early stage, they can easily be misdiagnosed and miss the therapeutic window, resulting in a poor prognosis. The diagnosis of Clostridium perfringens liver abscess mainly depends on computed tomography (CT), needle aspiration, and/or blood culture. After diagnosis, treatments such as antibiotic therapy, surgical abscess drainage, blood transfusion as needed, and correction of metabolic disturbances must be immediately administered to prevent severe complications. Here, we present two cases of liver abscess due to Clostridium perfringens infection. Both patients initially presented only with fever, abdominal pain, and jaundice, symptoms that were easily confused with cholangitis caused by cholelithiasis. The patients then progressed rapidly and, despite receiving antimicrobial and multimodal sepsis treatment, both eventually died of multiple organ dysfunction syndrome. Clinicians should be on high alert for Clostridium perfringens liver abscesses disguised as biliary disease. Early diagnosis and treatment with the appropriate antibiotics and surgery are fundamental for the survival of the affected patients.

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Survival in a Case of Emphysematous Cholecystitis With Sepsis Caused by Clostridium perfringens

Hoshi,

Takeshima,

Matsuoka

et al. 2023

Cureus

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A 77-year-old man presented to the Department of Internal Medicine with a chief complaint of abdominal pain. During the outpatient examination, a computed tomography (CT) scan showed gallstones. The patient developed worsening abdominal pain and fever and was admitted to the emergency department. He was diagnosed with cholecystitis and hospitalized. Treatment with antimicrobial agents was initiated. On the second day of hospitalization, the patient developed a fever of 39°C, hypotension, and oliguria. An emergency CT scan was performed, which showed gas production in the gallbladder. He was diagnosed with emphysematous cholecystitis, and emergency percutaneous transhepatic gallbladder drainage was performed. The patient was transferred to the high-care unit, and intensive care was initiated. On the eighth day, a follow-up CT scan showed an abscess in the gallbladder bed, and drainage was performed percutaneously. His general condition gradually improved, and he was discharged from the hospital on day 24. The patient was readmitted for cholecystectomy three months after the initial admission. The prognosis of sepsis caused by Clostridium perfringens is extremely poor, with a mortality rate of 70%-100%. We present a case of emphysematous cholecystitis successfully treated with multimodal treatment despite the presence of sepsis due to Clostridium perfringens and discuss the possible prognostic factors by reviewing the literature.

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An Unusual Fatal Outcome of Laparoscopic Cholecystectomy: A Case Report

Cited by 3 publications

References 8 publications

The Successful Resolution of a Large Splenic Abscess With Six Years of Follow-Up and Without Recurrence

The Successful Resolution of a Large Splenic Abscess With Six Years of Follow-Up and Without Recurrence

Clostridium perfringens Liver Abscess Disguised as Biliary Disease: A Report of Two Cases and a Review of the Literature

Survival in a Case of Emphysematous Cholecystitis With Sepsis Caused by Clostridium perfringens

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