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Fungal hepatic abscess formation postlaparoscopic cholecystectomy.
Dana AlNuaimi1, Ghufran Saeed2, Shareefa Abdulghaffar3
1Department of Health, Abu Dhabi, United Arab Emirates.
Journal of Surgical Case Reports
|December 24, 2024
Summary
This case report details a rare fungal hepatic infection, conidiobolomycosis, following laparoscopic cholecystectomy. Early recognition and treatment are crucial for managing this serious postoperative complication.
Area of Science:
- Hepatology
- Infectious Diseases
- Surgical Complications
Background:
- Laparoscopic cholecystectomy is the standard treatment for acute cholecystitis.
- Postoperative infections, though infrequent, can be severe after this procedure.
- Hepatic abscesses, including fungal types, pose significant risks post-cholecystectomy.
Observation:
- A 58-year-old female presented with fever, jaundice, and RUQ pain post-laparoscopic cholecystectomy.
- Imaging revealed a hilar lesion suggestive of an abscess with portal vein thrombosis.
- Biopsy confirmed fungal hepatic infection: conidiobolomycosis.
Findings:
- This is the first reported case of conidiobolomycosis post-laparoscopic cholecystectomy.
- The patient showed mild improvement with antibiotics and antifungals.
- Disease course was limited due to patient leaving against medical advice.
Implications:
- Highlights the potential for rare fungal infections after cholecystectomy.
- Underscores the importance of considering fungal etiologies in post-surgical hepatic abscesses.
- Suggests the need for vigilance in diagnosing and managing such complications.
