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Emphysematous hepatitis with successful treatments: A rare case report
Nannan Pan1, Shuo Wang2, Zhenwei Miao1
1Department of Radiology, Tianjin Medical University Baodi Clinical College: Tianjin Baodi Hospital, Tianjin, China.
Rationale:
Emphysematous hepatitis (EH) is a rare and fulminant gas-forming liver infection. Only 3 patients were successfully treated. Diabetes mellitus and a history of digestive system cancer may predispose individuals to EH. Computed tomography (CT) findings support the diagnosis of EH and monitor progress.
Patient Concerns:
A 48-year-old man with diabetes presented with nausea, vomiting (gastric contents) and diarrhea. Laboratory test results revealed elevated levels of inflammatory indicators and abnormal liver function. CT showed a large-scale air collection with some remaining parenchymal debris in the left lobe of the liver. Remarkably, no fluid was observed inside the lesion.
Diagnose:
The abdominal CT features and laboratory examination results rationalized the diagnosis of EH.
Interventions And Outcomes:
The patient finally recovered from this severe disease through a series of effective treatments, including strict glucose control, sensitive antibiotic therapy, and subsequent percutaneous drainage.
Lessons:
EH generally deteriorates rapidly and eventually leads to death. This case will raise awareness of the rare and severe disease, strengthen diagnostic capacities, and provide advice to treat it.
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