Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment
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-ol...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Jin Publishing & Printing Co.
2018-01-01
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| Series: | The Korean Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2018.71.1.45 |
| _version_ | 1818526038948315136 |
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| author | Kyung Jin Lee Soo Hyung Ryu |
| author_facet | Kyung Jin Lee Soo Hyung Ryu |
| author_sort | Kyung Jin Lee |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-11T06:17:32Z |
| format | Article |
| id | doaj.art-689c1e19895148aeaa2fd4a76b54de54 |
| institution | Directory Open Access Journal |
| issn | 1598-9992 |
| language | English |
| last_indexed | 2024-12-11T06:17:32Z |
| publishDate | 2018-01-01 |
| publisher | Jin Publishing & Printing Co. |
| record_format | Article |
| series | The Korean Journal of Gastroenterology |
| spelling | doaj.art-689c1e19895148aeaa2fd4a76b54de542022-12-22T01:17:56ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922018-01-01711454810.4166/kjg.2018.71.1.45kjg.2018.71.1.45Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical TreatmentKyung Jin Lee0Soo Hyung Ryu1Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, KoreaGas-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.http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2018.71.1.45Liver abscesspyogenicRuptureKlebsiella pneumoniaePeritonitis |
| spellingShingle | Kyung Jin Lee Soo Hyung Ryu Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment The Korean Journal of Gastroenterology Liver abscess pyogenic Rupture Klebsiella pneumoniae Peritonitis |
| title | Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment |
| title_full | Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment |
| title_fullStr | Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment |
| title_full_unstemmed | Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment |
| title_short | Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment |
| title_sort | ruptured gas forming pyogenic liver abscess into the peritoneal cavity treated successfully with medical treatment |
| topic | Liver abscess pyogenic Rupture Klebsiella pneumoniae Peritonitis |
| url | http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2018.71.1.45 |
| work_keys_str_mv | AT kyungjinlee rupturedgasformingpyogenicliverabscessintotheperitonealcavitytreatedsuccessfullywithmedicaltreatment AT soohyungryu rupturedgasformingpyogenicliverabscessintotheperitonealcavitytreatedsuccessfullywithmedicaltreatment |