Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment
- Author:
Kyung Jin LEE
1
;
Soo Hyung RYU
Author Information
- Publication Type:Case Report
- Keywords: Liver abscess, pyogenic; Rupture; Klebsiella pneumoniae; Peritonitis
- MeSH: Abdominal Cavity; Aged; Anti-Bacterial Agents; Drainage; Female; Humans; Klebsiella pneumoniae; Liver Abscess; Liver Abscess, Pyogenic; Mortality; Peritoneal Cavity; Peritonitis; Renal Replacement Therapy; Rupture; Sepsis
- From:The Korean Journal of Gastroenterology 2018;71(1):45-48
- CountryRepublic of Korea
- Language:English
- Abstract: Gas-forming pyogenic liver abscess (GFPLA) is very rare and has a very high mortality in case of rupture into the abdominal cavity, which usually require surgical treatment. We experienced a case of a ruptured GFPLA due to Klebsiella pneumoniae complicated with peritonitis and sepsis in a 68-year-old diabetic woman. Immediate and aggressive medical treatments including intravenous antibiotics, percutaneous drainage, and continuous renal replacement therapy dramatically improved the liver abscess, peritonitis, and metabolic problems. We report an unusual case of a ruptured GFPLA without surgical management, treated successfully with only medical treatment.
