Pyogenic liver abscess complicated by a hepatoduodenal fistula

Malla, Sundeep; Sharma, Raju; Goyal, Ankur; Shalimar, S.

doi:10.1136/bcr-2021-242693

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…Without proper treatment, intrahepatic abscesses can rupture, develop pleuropulmonary complications, and even embolize or form gastroenteric fistulas [2][3]. Hepatic abscess fistulization with various segments of the gastrointestinal tract, including the duodenum, stomach, hepatic flexure of the large intestine, or ascending colon, occurs significantly less frequently compared to other intrahepatic abscess complications [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Initial diagnosis of a hepatoduodenal fistula can be seen in a contrast-enhanced computed tomography (CT) scan of the abdomen followed with a confirmatory fistulogram [4][5][6][7]. Currently, there are no established treatment guidelines for hepatoduodenal fistulas.…”

Section: Introductionmentioning

confidence: 99%

“…Currently, there are no established treatment guidelines for hepatoduodenal fistulas. Treatment varies from conservative antibiotic therapy and catheter drainage to invasive surgical resection [4][5][6][7]. Although conservative management with antibiotics and catheter drainage provides symptomatic relief of hepatoduodenal fistulas, the patient must tolerate the inconvenience of an intrahepatic drain.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Fix the Flat: Applying the Principles of Tire Aerosol Repair to Prevent Exsanguination From a Hemorrhagic Intrahepatic Mass

Tenewitz¹,

Harmon²,

Matteo³

et al. 2021

Cureus

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Metastatic neoplasias often require increased blood supply for proliferation. Tumors that outgrow their blood supply can undergo necrosis, leading to the formation of mass-like abscesses. Depending on the location, these lesions can form fistulas with nearby organs resulting in poor patient outcomes. Interventional operators may use unconventional methods to the benefit of patients when resolving these complex lesions. The following case describes a patient with a large right hemorrhagic intrahepatic collection and formation of a duodenal fistula, resulting in acute blood loss anemia. Although there is not a standardized treatment for this complication, we present a novel therapeutic technique that incorporates similar principles analogous to the standard canned aerosol tire repair device.

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