Korean J Gastroenterol.  2018 Jan;71(1):45-48. 10.4166/kjg.2018.71.1.45.

Ruptured Gas-forming Pyogenic Liver Abscess into the Peritoneal Cavity Treated Successfully with Medical Treatment

• Lee KJ
• Ryu SH

• KMID: 2402805
• DOI: http://doi.org/10.4166/kjg.2018.71.1.45

Abstract

Gas-forming pyogenic liver abscess (GFPLA) is very rare and has a very high mortality in case of rupture into the abdominal cavity, which usually require surgical treatment. We experienced a case of a ruptured GFPLA due to Klebsiella pneumoniae complicated with peritonitis and sepsis in a 68-year-old diabetic woman. Immediate and aggressive medical treatments including intravenous antibiotics, percutaneous drainage, and continuous renal replacement therapy dramatically improved the liver abscess, peritonitis, and metabolic problems. We report an unusual case of a ruptured GFPLA without surgical management, treated successfully with only medical treatment.

Keyword

Liver abscess, pyogenic; Rupture; Klebsiella pneumoniae; Peritonitis

MeSH Terms

Abdominal Cavity
Aged
Anti-Bacterial Agents
Drainage
Female
Humans
Klebsiella pneumoniae
Liver Abscess
Liver Abscess, Pyogenic*
Mortality
Peritoneal Cavity*
Peritonitis
Renal Replacement Therapy
Rupture
Sepsis
Anti-Bacterial Agents