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Deniz Gokalp1, Alpaslan Tuzcu2, Ster Irmak3, Mithat Bahceci4, Ozlem Demirpence5 1) Acibadem University School of Medicine, Turkey. 2) Dicle University School of Medicine, Department of

MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE

Ayodele Atolagbe1, Oloruntobi Rahaman1

1) Department of Surgery, Harlem Hospital, Columbia University, New York, USA.

Disclosure: The author has declared no conflicts of interest.

Received: 31.07.15 Accepted: 18.08.15

1486385429 Quote  doi: 10.5455/ijsm.20150818032124

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Abstract:

An unusual complication of gallbladder empyema is its rupture into the liver forming giant multiloculated pyogenic abscesses.This condition is rapidly fatal in diabetic and immunocompromised patients.
We present a 79-year-old African American woman resident in New York City with a medical history of diabetes mellitus who presented at the ED with constitutional symptoms and right upper quadrant pain of a few days duration. She was tender and had a positive murphy’s sign on clinical examination coupled with tachycardia and a low-grade fever. Laboratory findings of leukocytosis, and metabolic acidosis, lactic academia and elevated ketones with moderately deranged hepatic function tests and negative tumor markers. Management consisted of broad spectrum antibiotics and an urgent open cholecystectomy and drainage of multiple multi-loculated hepatic abscesses. A repeat ultrasonogram showed a remnant collection which was drained by interventional radiology and drains left in-situ. She was discharged after four weeks of parenteral antibiotics with repeat sonogram showing complete resolution of hepatic abscess.

Keywords: pyogenic hepatic abscess gallbladder, pyogenic abscess of the liver, pyogenic liver abscess, pyogenic hepatic abscess treatment, pyogenic hepatic abscess drainage


References:

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2. Donati M, Biondi A, Francesco B, Gruttadauria S. An atypical presentation of intra-hepatic perforated choelcystitis: a modern indication to open cholecystectomy. Report of a case. BMC Surg. 2014; 14: 6. [DOI via Crossref] [Pubmed] [PMC Free Fulltext]
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How to Cite this Article

Bibliography

Atolagbe, A. and Rahaman, O. (2016) ‘Multiple Hepatic abscesses from a ruptured gallbladder Empyema and a case report and review of the literature’, International Journal of Surgery and Medicine, 2(1), pp. 36–38. doi: 10.5455/ijsm.20150818032124.

Citations, Quotes & Annotations

Atolagbe, A. and Rahaman, O. (2016) ‘Multiple Hepatic abscesses from a ruptured gallbladder Empyema and a case report and review of the literature’, International Journal of Surgery and Medicine, 2(1), pp. 36–38. doi: 10.5455/ijsm.20150818032124.
(Atolagbe and Rahaman, 2016) 
 

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Last modified onSunday, 03 June 2018 17:25