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Pyogenic liver abscess complicating biliary stricture due to chronic pancreatitis
Steven C Cunningham1, Lena M Napolitano
1Department of Surgery, Veterans Affairs Maryland Healthcare System, Baltimore, Maryland, USA.
Background:
Chronic pancreatitis uncommonly causes common bile duct stricture, and common bile duct stricture rarely leads to pyogenic liver abscess.
Methods:
We describe a 51-year-old man who developed a pyogenic liver abscess after the development of a common bile duct stricture due to chronic pancreatitis.
Results:
The patient required open drainage of the liver abscess and decompressive choledochoduodenostomy. His infection was persistent and he required percutaneous and subsequent open drainage of a second hepatic abscess. The patient died of refractory sepsis and multi-organ failure.
Conclusions:
The relevant English literature concerning pyogenic liver abscesses, specifically in the setting of common bile duct stricture due to chronic pancreatitis, is reviewed and discussed.
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