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Liver abscess following superior mesenteric artery revascularization for acute mesenteric ischemia
P M Shah1, S C Babu, H P Rajdeo
1Section of Vascular Surgery, New York Medical College, Valhalla.
Abstract:
A case of pyogenic liver abscess following successful mesenteric artery revascularization is described in a patient with acute mesenteric ischemia. Prior to revascularization, arteriography confirmed celiac and superior mesenteric artery occlusion. Occurrence of liver abscess is explained on the basis of ischemia impairing the barrier function of the intestinal mucosa, contributing to portal bacteremia that seeds ischemic or necrotic liver. In patients with acute mesenteric ischemia, sequential sonographic examination of the liver following mesenteric revascularization is advocated for early diagnosis of liver abscess if there is clinical evidence of the sepsis.
Insights
A pyogenic liver abscess can develop after mesenteric artery revascularization in patients with acute mesenteric ischemia. Early liver ultrasound is recommended if sepsis signs appear post-procedure.
Area of Science:
- Vascular Surgery
- Hepatology
- Infectious Diseases
Background:
- Acute mesenteric ischemia (AMI) is a critical condition often requiring surgical intervention.
- Mesenteric artery revascularization aims to restore blood flow but can be followed by complications.
- Pyogenic liver abscess is a rare but serious post-operative complication.