MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE
Journal Title: International Journal of Surgery and Medicine - Year 2016, Vol 2, Issue 1
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.
Authors and Affiliations
Ayodele Atolagbe, Rahaman Oloruntobi
Keywords
Related Articles
- EP ID EP271132
- DOI 10.5455/ijsm.20150818032124
- Views 79
- Downloads 0
TREATMENT OF RENAL STONES WITH PERCUTANEOUS NEPHROLITHOTOMY IMPROVES RENAL FUNCTIONS IN CHRONIC KIDNEY DISEASE PATIENTS
In this study, we aimed to investigate the impact of percutaneous nephrolithotomy on kidney functions in stage III or higher chronic renal failure patients using glomerular filtration rate and serum creatinine level. Me...
KNOWLEDGE, BEHAVIOUR AND ATTITUDES REGARDING HIV/AIDS AMONG UNDERGRADUATE STUDENTS IN AN IRISH UNIVERSITY
A descriptive cross sectional study was conducted in an Irish University among undergraduate students in 2012. A web questionnaire consisted of items related to HIV/AIDS knowledge, behaviour and attitudes was sent to all...
CLINICOPATHOLOGICAL FACTORS ASSOCIATED WITH POSITIVE PREOPERATIVE AXILLARY ULTRASOUND SCANNING IN BREAST CANCER PATIENTS
Background: Axillary lymph node status is the most important breast cancer prognostic factor. Preoperative axillary ultrasound examination (PAUS) is used to triage patients for sentinel lymph node biopsy (SLNB) or axilla...
IMPLEMENTING A QUALITY IMPROVEMENT FRAMEWORK FOR MAJOR AMPUTATION IN A SCOTTISH HEALTH BOARD (PATTERNS OF PERI-OPERATIVE MORTALITY AND AMPUTATION LEVEL)
We present a large contemporary series of patients presenting with unreconstructable critical limb ischaemia and requiring amputation. As well as being an insight into the challenges faced with the implementation of a qu...
BREAST CANCER AND ITS IMPACT IN SOCIETY AT A GLANCE
The first in a series of reviews discusses the literature published so far relating to breast cancer including: epidemiology of the disease, economic impact, pathology of breast cancer as it remains the most common cance...