Hepatic abscess secondary to gallbladder perforation: Case report and literature review

Masood,; Ali, Mushahid; Burgaul, R; Smith, Alexandra J

doi:10.1258/rsmsmj.53.1.60h

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…There are limited published cases pertaining to cholecystitis that is complicated by a synchronous liver abscess [3][4][5][6][7]. Appropriate treatment depends on the severity of cholecystitis [8] and could either involve cholecystectomy alone or in combination with percutaneous abscess drainage.…”

Section: Introductionmentioning

confidence: 99%

Pyogenic Liver Abscess Complicating Acute Cholecystitis: Different Management Options

Paramythiotis

Karakatsanis²,

Karlafti³

et al. 2022

Medicina

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Acute cholecystitis, which is usually associated with gallstones is one of the most common surgical causes of emergency hospital admission and may be further complicated by mural necrosis, perforation and abscess formation. Perforation of the gallbladder is a relatively uncommon complication of acute cholecystitis (0.8–3.2% in recent reviews). The intrahepatic perforation causing a liver abscess is an extremely rare condition, anecdotally reported in the scientific literature, even in the rare types of subacute or acute perforation. Liver abscess caused by gallbladder perforation can be a life-threatening complication with a reported mortality of 5.6%. The treatment of synchronous pyogenic liver abscess and acute cholecystitis may be challenging. We reported three cases of liver abscess due to acute cholecystitis in which different therapeutical approaches were employed. The first case was treated with antibiotics and interval laparoscopic cholecystectomy; the second case was treated with emergency cholecystectomy; and the third case with percutaneous aspiration of the abscess only. The appropriate therapeutical method in these cases depends on the patient’s clinical condition, the on-site expertise that is available in the hospital, and the experience of the surgeon.

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Section: Introductionmentioning

confidence: 99%

Pyogenic Liver Abscess Complicating Acute Cholecystitis: Different Management Options

Paramythiotis

Karakatsanis²,

Karlafti³

et al. 2022

Medicina

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“…The most important risk factor is gallbladder stones. 1 According to the inflammation progress and type of perforation, Niemeier is subdivided GBP into three types. 1,[5][6][7] Type I (acute) is associated with free perforation into the peritoneal cavity.…”

Section: Introductionmentioning

confidence: 99%

“…1 According to the inflammation progress and type of perforation, Niemeier is subdivided GBP into three types. 1,[5][6][7] Type I (acute) is associated with free perforation into the peritoneal cavity. Type II (subacute) perforation consists in the localization of the fluid at the perforation site, pericholecystic abscess, and localized peritonitis.…”

Section: Introductionmentioning

confidence: 99%

“…If the perforation site is covered by the omentum, the intestines, or the visceral surface of the liver, the infection remains limited in the supra mesocolic space with formation of a plastron, pericholecystic fluid, or an intrahepatic abscess. [1][2][3] Therefore, the GBP can cause a cholecystohepatic communication with consequent spreading of the infection into the liver. The type III (chronic) perforation consists of internal or external fistula formation.…”

Section: Introductionmentioning

confidence: 99%

“…The type III (chronic) perforation consists of internal or external fistula formation. 1,3,5 cAse descrIptIon A 51-year-old male presented to us with complaints of low-grade fever, pain in right hypochondrium since14 days and h/o weight loss. On physical examination, the patient was icteric and Murphy's sign was positive.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Minimal Invasive Management of Gallbladder Perforation

Bhandarwar¹,

More²,

Bhagvat³

et al. 2019

World Journal of Laparoscopic Surgery With DVD

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Background: Gallbladder perforation (GBP) is a rare clinical entity but life-threatening complication of cholecystitis with or without stones and associated with increased rate of mortality and morbidity due to late diagnosis. Case description: We describe the case of a 51-year-old male patient who presented with abdominal pain and a Niemeier type II GBP. CT scan revealed a GBP with subhepatic collection and surrounding inflammatory changes. It was communicating through a thin hypodense band with the cystic duct, distal to an impacted stone. Through laparoscopy, the collection was confirmed to be a subhepatic secondary to GBP. The cholecystectomy and the abscess cavity treatment were completely handled via laparoscopic approach. Discussion and conclusion: The case report demonstrates that laparoscopic approach can be a safe and feasible method in order to treat both the cause and the complication in this situation. Early diagnosis and appropriate minimally invasive approach are the key to manage this condition.

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Localized gallbladder perforation: a systematic review of treatment and prognosis

Quiroga‐Garza

Alvarez‐Villalobos

Angeles-Mar

et al. 2021

HPB

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Hepatic abscess secondary to gallbladder perforation: Case report and literature review

Cited by 5 publications

References 10 publications

Pyogenic Liver Abscess Complicating Acute Cholecystitis: Different Management Options

Pyogenic Liver Abscess Complicating Acute Cholecystitis: Different Management Options

Minimal Invasive Management of Gallbladder Perforation

Localized gallbladder perforation: a systematic review of treatment and prognosis

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