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Hepatic rupture: A case report of a severe complication of percutaneous catheter drainage

Liang Zhang1, DaLong Wan, LeLe Zhang

  • 1Department of Hepatobiliary and Pancreatic Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou Key Lab of Combined Multi-Organ Transplantation, Ministry of Public Health, Key Lab of Organ Transplantation, P.R. China.

Medicine
|February 27, 2018
PubMed

Insights

Percutaneous catheter drainage (PCD) for liver abscesses can rarely cause hepatic rupture. Prompt recognition and supportive medical management are crucial for successful recovery from this severe complication.

Area of Science:

  • Hepatology
  • Interventional Radiology
  • Trauma Surgery

Background:

  • Percutaneous catheter drainage (PCD) is the primary treatment for pyogenic liver abscesses.
  • Severe complications from PCD are rare, but hepatic rupture is a life-threatening possibility.
  • Management of hepatic rupture is complex due to the risk of fatal hemorrhagic shock.

Observation:

  • A case report details a diabetic patient diagnosed with pyogenic liver abscess.
  • The patient underwent PCD after ineffective antibiotic treatment.
  • Hepatic rupture occurred post-PCD, confirmed by imaging and clinical presentation, but did not progress further.

Findings:

  • Surgical or interventional treatments were not suitable for this case of PCD-associated hepatic rupture.
  • Effective management was achieved through conservative medical treatments and supportive care.
  • The patient demonstrated gradual improvement and uneventful recovery.

Implications:

  • Hepatic rupture must be recognized as an extremely rare but severe potential complication of PCD.
  • Early suspicion and timely, appropriate interventions are vital to prevent adverse outcomes.
  • This case highlights the importance of considering rare complications in liver abscess management.
Abstract

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