Rupture of liver abscess
Keywords:
LIVER ABSCESS, PERITONITIS, RUPTURE, MORBIDITY, CHOLELITHIASIS.Abstract
Introduction: liver abscess is a collection of pus surrounded by a fibrous capsule, of high morbidity and mortality rates in the world. It has an incidence of approximately 20 per 100,000 inhabitants and a mortality of 5 % to 30 %.
Objective: to present a case of rupture of liver abscess in the abdominal cavity associated with cholelithiasis.
Case report: a 65-year-old female patient was admitted to the emergency general surgery department after a month of pain in the right hypochondriac region accompanied by copious vomiting and asthenia. Physical examination revealed jaundice, tachycardia, tachypnea, intense pain in the right hypochondriac region with defense and peritoneal reaction (positive Murphy's score). It was decided to take the patient to the operating room, finding ruptured liver abscess associated with vesicular lithiasis and fibrinopurulent peritonitis, a sample was taken for culture, a thorough neck cholecystectomy was performed, washing of the abdominal cavity and hepatic craters. Subhepatic drainage was left. Evolution was satisfactory.
Conclusions: peritoneal lavage, cholecystectomy and broad spectrum antibiotic therapy is an effective therapeutic alternative in patients with ruptured pyogenic liver abscess with cholelithiasis.
Downloads
References
1. Ndong A, Tendeng JN, Ndoye NA, et al. Predictive risk factors for liver abscess rupture: A prospective study of 138 cases. Clínica Arco Gastroenterol. [Internet]. 2020 [citado 02/01/2022]; 6(1): 1-5. Disponible en: https://www.peertechzpublications.com/articles/ACG-6-167.pdf
2. Jha AK, Jha P, Chaudhary M, Purkayastha S, Jha SK, Ranjan R, et al. Evaluación de los factores asociados con las complicaciones en el absceso hepático amebiano en una población predominantemente bebedora de toddy: un estudio retrospectivo de 198 casos. Abierto JGH Open. [Internet]. 2019 [citado 02/01/2022]; 3(6):474-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6891022/
3. SANDOVAL RODRIGUEZ DI, Serrano Quintero LN, Rivera Pedraza JL, Magallanes Cedillo O. Absceso Hepático Roto: revisión de un caso. Revista Medicina e Investigación. [Internet]. 2017 [citado 02/01/2022]; 5(1): 82-85. Disponible en: http://ri.uaemex.mx/bitstream/handle/20.500.11799/66661/Revista%20Medicina_VOL5_11_ABSCESO.pdf?sequence=3&isAllowed=y
4. Faridi A.S, Harris H.S, Alvi Y. Evaluation of predictors of mortality in patients of ruptured liver abscess: a prospective study. Int Surg J [Internet]. 2021 [citado 02/01/2022]; 8(12): 3639-3644. Disponible en: https://mail.ijsurgery.com/index.php/isj/article/download/8288/5076
5. Kumar R, Anand U, Priyadarshi RN, et al. Management of amoebic peritonitis due to ruptured amoebic liver abscess: It's time for a paradigm shift. JGH open. [Internet]. 2019 [Citado 13/01/2022]; 3(3): 268–269. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586569/
6.- Martínez García Arturo, León González Olga Caridad, Danta Fundora Luis Manuel. Ruptura espontánea de absceso hepático del lóbulo izquierdo en hemitórax derecho. Rev Cub Med Mil [Internet]. 2021 Jun [citado 21/02/2022]; 50 (2): e1003. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572021000200034&lng=es.
7. Ulnazeer Kawoosa N, Bashir A, Rashid B. Spontaneous Cutaneous Rupture of a Pyogenic Liver Abscess. Indian J Surg. [Internet]. 2010 [citado: 21/02/2022];72(4): 339-42. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002775/
8. Gaetan Khim, Sokhom Em, Satdin Mo, Nicola Townell. Liver abscess: diagnostic and management issues found in the low resource setting. British Medical Bulletin[Internet]. 2019 [Citado 13/01/2022]; 132(1): 45-52. Disponible en: https://academic.oup.com/bmb/article/132/1/45/5677141
9. Cosme A., Ojeda E., Zamarreño I., Bujanda L., Garmendia G., Echeverría M. J. et al. Absceso hepático piógeno versus amebiano: Estudio clínico comparativo de una serie de 58 casos. Rev. esp. enferm. dig. [Internet]. 2010 Feb [citado 21/02/2022]; 102(2): 90-95. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082010000200004&lng=es.
10. Zhihui Chang, Hairui Wang, Beibei Li, Zhaoyu Liu, Jiahe Zheng. Metabolic characterization of Peripheral Host Responses to Drainage-Resistant Klebsiella Pneumoniae Liver Abscesses by Serum 1H-NMR Spectroscopic. Front. Cell. Infect. Microbiol. [Internet]. 2018 jun [Citado 13/01/2022]; 8:174. Disponible en: https://www.frontiersin.org/articles/10.3389/fcimb.2018.00174/full
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
