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Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment
Kyung Jin Lee1, Soo Hyung Ryu1
1Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
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.
Insights
Gas-forming pyogenic liver abscess (GFPLA) is rare but dangerous when ruptured. This case shows successful medical treatment for a ruptured GFPLA, avoiding surgery.
Area of Science:
- Hepatology
- Infectious Diseases
- Critical Care Medicine
Background:
- Gas-forming pyogenic liver abscess (GFPLA) is a rare but severe condition.
- Ruptured GFPLA carries a high mortality risk and typically necessitates surgical intervention.
- Klebsiella pneumoniae is a common pathogen in pyogenic liver abscesses.
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