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Pyogenic Liver Abscess Complicating Acute Cholecystitis: Different Management Options.
Daniel Paramythiotis1, Anestis Karakatsanis1, Eleni Karlafti2,3
1Department of Surgery, AHEPA General University Hospital, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Medicina (Kaunas, Lithuania)
|June 24, 2022
Summary
Acute cholecystitis can rarely perforate, leading to a life-threatening liver abscess. Treatment varies, depending on patient condition and available expertise, with options including antibiotics, surgery, or abscess drainage.
Area of Science:
- Gastroenterology
- Hepatology
- Surgical Oncology
Background:
- Acute cholecystitis, commonly caused by gallstones, is a frequent cause of emergency hospital admission.
- Gallbladder perforation is an uncommon but serious complication, with intrahepatic perforation leading to liver abscess being exceedingly rare.
Observation:
- This study presents three cases of liver abscess secondary to acute cholecystitis.
- The cases highlight the challenges in managing synchronous pyogenic liver abscess and acute cholecystitis.
Findings:
- Treatment approaches varied across the cases: antibiotics with interval laparoscopic cholecystectomy, emergency cholecystectomy, and percutaneous abscess aspiration.
- Successful management hinges on patient's clinical status, hospital resources, and surgical expertise.
Implications:
- Early recognition and tailored treatment are crucial for improving outcomes in this rare but severe condition.
- This case series informs clinical decision-making for managing liver abscesses arising from acute cholecystitis.
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