Korean J Gastroenterol.  2024 Aug;84(2):95-97. 10.4166/kjg.2024.077.

Delayed Perihepatic Abscess in a Patient Who Underwent Surgical Resection of Duodenal Papilla

Affiliations
  • 1Department of Internal Medicine, Chungnam National University, College of Medicine, Daejeon, Korea
  • 2Department of Gastroenterology, Chungnam National University Hospital, Daejeon, Korea


Figure

  • Fig. 1 About 4.4×1.8 cm loculated fluid collection with rim enhancement in lateral surface of right hepatic lobe with adjacent hepatic hyperemic change and fat stranding, perihepatic abscess.

  • Fig. 2 Perihepatic abscess drainage catheter insertion and there is no evidence of connection between perihepatic abscess and colon.

  • Fig. 3 Evidence of percutaneous perihepatic drainage catheter around right upper quadrant area of abdomen.

  • Fig. 4 Marked decreased size of rim-enhancing loculated fluid collection in lateral surface of right hepatic lobe with adjacent hepatic hyperemic change and fat stranding, improving state of abscess.


Reference

1. Palumbo VD, Di Trapani B, Bruno A, et al. 2019; Recurrent retroperitoneal abscess after biliary tract surgery in an elderly patient: a minimally invasive nonsurgical approach and its consequences: a case report. J Med Case Rep. 13:43. DOI: 10.1186/s13256-019-1973-3. PMID: 30798788. PMCID: PMC6388486.
2. Gruttadauria S, Li Petri S, Echeverri GJ, et al. Liver abscess and septic shock as an unusual complication after endoscopic ampullectomy. Endoscopy. 2011; 43 Suppl 2 UCTN:E158–E159. DOI: 10.1055/s-0030-1256261. PMID: 21563061.
3. Singhal S, Changela K, Lane D, Anand S, Duddempudi S. 2014; Endoscopic ultrasound-guided hepatic and perihepatic abscess drainage: an evolving technique. Therap Adv Gastroenterol. 7:93–98. DOI: 10.1177/1756283X13506178. PMID: 24587822. PMCID: PMC3903087.
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