Liver Abscesses after Peritoneal Venous Shunt
A 70-year-old man was referred to our hospital for high-grade fever with chills. He has visited our hospital for alcoholic liver cirrhosis and diabetes mellitus for over 20 years. Nine months earlier, he had received a peritoneal venous shunt (Denver shunt®) because of refractory ascites. Laboratory...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2013-05-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/351833 |
| _version_ | 1818560475542061056 |
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| author | Hideto Kawaratani Tatsuhiro Tsujimoto Takuya Kubo Yousuke Aihara Toshiaki Takaya Masakazu Uejima Kei Moriya Ryuichi Noguchi Hitoshi Yoshiji Hiroshi Fukui |
| author_facet | Hideto Kawaratani Tatsuhiro Tsujimoto Takuya Kubo Yousuke Aihara Toshiaki Takaya Masakazu Uejima Kei Moriya Ryuichi Noguchi Hitoshi Yoshiji Hiroshi Fukui |
| author_sort | Hideto Kawaratani |
| collection | DOAJ |
| description | A 70-year-old man was referred to our hospital for high-grade fever with chills. He has visited our hospital for alcoholic liver cirrhosis and diabetes mellitus for over 20 years. Nine months earlier, he had received a peritoneal venous shunt (Denver shunt®) because of refractory ascites. Laboratory examinations revealed elevated C-reactive protein and liver dysfunction. Ultrasonography and abdominal enhanced computed tomography showed multiple small abscesses in the right lobe of the liver. Blood culture test did not detect the pathogenic bacteria of liver abscesses. The patient was treated with antibiotics for more than 2 months and cured from the infection, but 3 months later, he developed high-grade fever again. He had a recurrence of multiple small liver abscesses involving both lobes of the liver. He was treated with antibiotics, and the abscesses disappeared within a month. After the antibiotic treatment, he had selective intestinal decontamination with kanamycin. He has had no recurrence of liver abscess for over a year. To our knowledge, this is the first report of liver abscess in a cirrhotic patient with Denver shunt. Clinicians should bear liver abscess in mind when treating patients with high-grade fever and liver dysfunction following Denver shunt implantation. |
| first_indexed | 2024-12-14T00:38:54Z |
| format | Article |
| id | doaj.art-d129d93e7eca4c2da3cd6503acae98ba |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-14T00:38:54Z |
| publishDate | 2013-05-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-d129d93e7eca4c2da3cd6503acae98ba2022-12-21T23:24:29ZengKarger PublishersCase Reports in Gastroenterology1662-06312013-05-017224525010.1159/000351833351833Liver Abscesses after Peritoneal Venous ShuntHideto KawarataniTatsuhiro TsujimotoTakuya KuboYousuke AiharaToshiaki TakayaMasakazu UejimaKei MoriyaRyuichi NoguchiHitoshi YoshijiHiroshi FukuiA 70-year-old man was referred to our hospital for high-grade fever with chills. He has visited our hospital for alcoholic liver cirrhosis and diabetes mellitus for over 20 years. Nine months earlier, he had received a peritoneal venous shunt (Denver shunt®) because of refractory ascites. Laboratory examinations revealed elevated C-reactive protein and liver dysfunction. Ultrasonography and abdominal enhanced computed tomography showed multiple small abscesses in the right lobe of the liver. Blood culture test did not detect the pathogenic bacteria of liver abscesses. The patient was treated with antibiotics for more than 2 months and cured from the infection, but 3 months later, he developed high-grade fever again. He had a recurrence of multiple small liver abscesses involving both lobes of the liver. He was treated with antibiotics, and the abscesses disappeared within a month. After the antibiotic treatment, he had selective intestinal decontamination with kanamycin. He has had no recurrence of liver abscess for over a year. To our knowledge, this is the first report of liver abscess in a cirrhotic patient with Denver shunt. Clinicians should bear liver abscess in mind when treating patients with high-grade fever and liver dysfunction following Denver shunt implantation.http://www.karger.com/Article/FullText/351833Peritoneal venous shuntDenver shuntLiver abscessLiver cirrhosisSelective intestinal decontamination |
| spellingShingle | Hideto Kawaratani Tatsuhiro Tsujimoto Takuya Kubo Yousuke Aihara Toshiaki Takaya Masakazu Uejima Kei Moriya Ryuichi Noguchi Hitoshi Yoshiji Hiroshi Fukui Liver Abscesses after Peritoneal Venous Shunt Case Reports in Gastroenterology Peritoneal venous shunt Denver shunt Liver abscess Liver cirrhosis Selective intestinal decontamination |
| title | Liver Abscesses after Peritoneal Venous Shunt |
| title_full | Liver Abscesses after Peritoneal Venous Shunt |
| title_fullStr | Liver Abscesses after Peritoneal Venous Shunt |
| title_full_unstemmed | Liver Abscesses after Peritoneal Venous Shunt |
| title_short | Liver Abscesses after Peritoneal Venous Shunt |
| title_sort | liver abscesses after peritoneal venous shunt |
| topic | Peritoneal venous shunt Denver shunt Liver abscess Liver cirrhosis Selective intestinal decontamination |
| url | http://www.karger.com/Article/FullText/351833 |
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