Successful Conservative Treatment of a Hepatic Abscess Originating from a Ruptured Renal Abscess in an Elderly Female

Chou, Chin-Yao; Lee, Jin-Jung; Lai, Ying–Cheng; Chang, Wen-Han; Su, Yu‐Jang

doi:10.1016/s1873-9598(08)70053-x

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Chu et al reported a case of liver abscess originating in a ruptured renal abscess extending to the para-renal space, spreading into the peritoneal cavity and then into the liver, forming a hepatic abscess [9]. As a consequence, in our case, we had an association of a hepatic abscess with a left renal abscess, the left kidney being located away from the liver, which makes the direct transmission between the two organs virtually impossible.…”

Section: Hepatic Abscessesmentioning

confidence: 67%

Hepato-Renal Relationship: A Rare Pathology- Hepatic Abscess Associated with Left Renal Abscess

2023

Ann Case Report

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The right kidney is located in the proximity of the liver, which allows the spreading of renal infectious processes to the liver, with the production of hepatic abscesses. This situation is rare, however, because of the anatomical structures that separate the two organs. Associations of left kidney abscesses with hepatic abscesses are little known. An abscess in the left kidney, which is located away from the liver, points to the improbability of an infection being transmitted to the liver and raises the issue of hematogenous microbial seeding. We present the case of a 23-year-old Caucasian female without any past history of kidney or liver disease. The patient presented sepsis with important leukocytosis (20,000 leukocytes/microl accompanied by renal symptoms, lumbar pain, urgency, frequency, and dysuria. The patient did not present leukocyturia and urine cultures were negative (1000 germs). Liver enzymes, serum bilirubin, and serum alkaline phosphatase were within normal limits. Renal function was not altered (serum creatinine within normal limits). Blood cultures were negative for both aerobic and anaerobic germs. Computed tomography exam showed a left renal abscess associated with a hepatic abscess, located in the right lobe (the IV hepatic segment). The issue of hematogenous spread of infection from the kidney to the liver is raised. Under treatment with imipenem associated with amikacin both the hepatic and the renal abscess had a favorable outcome.

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Section: Hepatic Abscessesmentioning

confidence: 67%

Hepato-Renal Relationship: A Rare Pathology- Hepatic Abscess Associated with Left Renal Abscess

2023

Ann Case Report

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“…Pyogenic liver abscess (PLA) is not an uncommon medical emergency involving all ages from the young to the very old. It could be caused by infection of biliary, portal, hematogenous, or cryptogenic origin and infection of adjacent structures [ 1 ]. The initial symptoms might be flu-like, such as fever, abdominal pain, anorexia, nausea, mild diarrhea, or dizziness.…”

Section: Discussionmentioning

confidence: 99%

Treatment and prognosis of pyogenic liver abscess

Lai

Lin

et al. 2010

Int J Emerg Med

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BackgroundThere are many combinations of treatments for pyogenic liver abscess (PLA). Different treatments are indicated for different clinical courses of PLA.AimsTo realize the current prevalence, clinical course, trend of treatment, and prognosis of pyogenic liver abscess (PLA) in Taiwan.MethodsWe retrospectively reviewed the medical records of 126 patients with PLA. We divided them into four groups: M, MD, MS, and MDS, represented as parenteral antibiotic only, parenteral antibiotic with drainage, parenteral antibiotic with surgical intervention, and parenteral antibiotic with surgical drainage. We analyzed data by commercial statistical software (SPSS for Windows, version 11.0, SPSS Ltd., Chicago, IL). We used Student’s t-test and χ2 test for statistical analyses, and significance was set at a p value less than 0.05.ResultsPLA patients who were treated only with parenteral antibiotics had early diagnosis of PLA with a mean fever period of 3.3 days (p = 0.043). Patients who needed surgical drainage were highly associated with shock presentation in the clinical course (35.7% versus 14.3%, p = 0.007).ConclusionThe earlier we can diagnose PLA, the shorter the patient's hospital stay (20.6 days) will be. In PLA patients with shock, a higher rate of surgical intervention is mandatory to save their lives.

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Successful Conservative Treatment of a Hepatic Abscess Originating from a Ruptured Renal Abscess in an Elderly Female

Cited by 2 publications

References 9 publications

Hepato-Renal Relationship: A Rare Pathology- Hepatic Abscess Associated with Left Renal Abscess

Hepato-Renal Relationship: A Rare Pathology- Hepatic Abscess Associated with Left Renal Abscess

Treatment and prognosis of pyogenic liver abscess

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