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

Medicine
Liang ZhangShengZhang Lin

Abstract

Currently, percutaneous catheter drainage (PCD) is regarded as the first-line treatment modality of pyogenic liver abscess. Severe complications associated with PCD were uncommon. Hepatic rupture is an uncommon but life-threatening liver trauma with high mortality. Its management is challenging because a delay in the diagnosis may lead to fatal hemorrhagic shock. To our knowledge, PCD-associated hepatic rupture has never been reported. We report herein a rare case of PCD-associated hepatic rupture. Its clinical courses and our therapeutic approaches are presented. Moreover, the clinical significance, underlying causes, and current views on severe liver trauma management will be discussed briefly. A diabetic patient suffering from fever and malaise was diagnosed with a pyogenic liver abscess. PCD was performed because intravenous antibiotics were ineffective. The patient developed a liver rupture following PCD, with clinical and imaging confirmation but without further progression. Surgical repair and vascular intervention were both inappropriate. As a result, medical treatments with supportive care were adopted and were found to be effective. The patient's condition improved gradually, with stabilized imaging and laboratory per...Continue Reading

References

Sep 1, 1975·Archives of Surgery·M H Roberts, F R Johnston
Mar 1, 1995·The Journal of Trauma·E E MooreH R Champion
Nov 17, 2009·World Journal of Gastroenterology : WJG·Sun-Keun ChoiKeon-Young Lee
Feb 23, 2012·Obstetrics and Gynecology·Sophie Grand'MaisonMichèle Mahone
Sep 12, 2014·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Yu-Long CaiNan-Sheng Cheng
Feb 24, 2016·Journal of Clinical and Experimental Hepatology·Hemanta K NayakArun Karyampudi
Oct 22, 2016·World Journal of Emergency Surgery : WJES·Federico CoccoliniLuca Ansaloni
Nov 26, 2016·Journal of Vascular and Interventional Radiology : JVIR·Jordan M Gutovich, Richard J Van Allan
May 16, 2017·AJR. American Journal of Roentgenology·Steffen J HaiderEric K Hoffer
Jun 10, 2017·World Journal of Emergency Surgery : WJES·S BuciK Kagjini
Jul 12, 2017·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Kyle RismillerJohn B Ammori

❮ Previous
Next ❯

Related Concepts

Related Feeds

Apoptosis

Apoptosis is a specific process that leads to programmed cell death through the activation of an evolutionary conserved intracellular pathway leading to pathognomic cellular changes distinct from cellular necrosis

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Anales de medicina interna : organo oficial de la Sociedad Española de Medicina Interna
E Pintor HolguinA Fernández-Cruz
Zentralblatt für Chirurgie
F Reichenbach, K F Fuchs
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Kyung Jin Lee, Soo Hyung Ryu
Journal of the American College of Surgeons
F F ChouD I Tai
The Nebraska Medical Journal
D Howe, L E Mayer
© 2022 Meta ULC. All rights reserved