Repeat Hepatectomy of Recurrent Tuberculous Hepatic Abscess.
- Author:
Nak Won BAEK
1
;
In Hu KIM
;
Suh Whan KANG
;
Dong Shik LEE
;
Won Kyu PARK
;
Sung Su YUN
;
Hong Jin KIM
Author Information
1. Department of Surgery, Yeungnam University College of Medicine, Daegu, Korea. hjkim@med.yu.ac.kr
- Publication Type:Case Report
- Keywords:
Recurrent tuberculous hepatic abscess;
Surgical resection
- MeSH:
Abdominal Pain;
Abscess;
Aged;
Biopsy;
Female;
Hepatectomy*;
Humans;
Liver;
Liver Abscess*;
Necrosis;
Recurrence;
Tomography, X-Ray Computed
- From:Journal of the Korean Surgical Society
2005;68(6):518-521
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Isolated tuberculous hepatic abscess is rare and surgical treatment is often needed when the size of abscess is large or increasing, when abscess is resistant to antituberculous medication or undergoing secondary change. We report an unusual case of recurrent tuberculous hepatic abscess following surgical resection and antituberculous medication. A 67-year-old woman was admitted due to right upper abdominal pain. She had operation history of segmental resection of the liver due to tuberculous hepatic abscess refractory to antituberculous medication. Preoperative abdominal CT scan demonstrated a enlarging multifocal cystic lesion at segment 8 of the liver in spite of antituberculous medication. Right lobectomy was done and the biopsy revealed caseous necrosis and acid-fast bacilli on microscopic finding. Second- line antituberculous medication was started and no evidence of recurrence was noted.
