Successful Non-surgical Treatment of Ruptured Pyogenic Liver Abscess

Tenyu Motoyama; Sadahisa Ogasawara; Tetsuhiro Chiba; Eiichiro Suzuki; Hajime Yokota; Yuki Haga; Naoya Kanogawa; Tomoko Saito; Yoshihiko Ooka; Akinobu Tawada; Fumihiko Kanai; Osamu Yokosuka

doi:10.2169/internalmedicine.52.0980

CASE REPORTS

Successful Non-surgical Treatment of Ruptured Pyogenic Liver Abscess

Tenyu Motoyama, Sadahisa Ogasawara, Tetsuhiro Chiba, Eiichiro Suzuki, Hajime Yokota, Yuki Haga, Naoya Kanogawa, Tomoko Saito, Yoshihiko Ooka, Akinobu Tawada, Fumihiko Kanai, Osamu Yokosuka

Author information

Tenyu Motoyama
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Sadahisa Ogasawara
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Tetsuhiro Chiba
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Eiichiro Suzuki
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Hajime Yokota
Department of Radiology, Graduate School of Medicine, Chiba University, Japan
Yuki Haga
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Naoya Kanogawa
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Tomoko Saito
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Yoshihiko Ooka
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Akinobu Tawada
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Fumihiko Kanai
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
Osamu Yokosuka
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan

Keywords: liver abscess, rupture, septic shock, percutaneous drainage, Klebsiella pneumoniae

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 23 Pages 2619-2622

DOI https://doi.org/10.2169/internalmedicine.52.0980

Details

Abstract

A 72-year-old man with a fever and abdominal pain was referred to our hospital. On admission, the patient exhibited the clinical signs of septic shock. Computed tomography revealed a rim-and septal-enhanced lesion in the left lobe of the liver with hemorrhage along the hepatic capsule. Because Klebsiella pneumoniae was detected in both the blood and aspirated abdominal fluid, the patient was diagnosed with a ruptured pyogenic liver abscess. He was successfully treated with percutaneous abscess drainage and the systemic administration of antibiotics. Non-surgical treatment for a ruptured pyogenic liver abscess is therefore effective in at least some cases.

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