Septic shock in the course of liver abscess rescued with percutaneous drainage – a literature review and case report
Journal Title: Polish Journal of Surgery - Year 2016, Vol 88, Issue 5
Abstract
This study presented a septic shock occurring with striking speed during the percutaneous drainage of a large abscess of the liver in an 18-year-old female patient after an appendectomy performed 3 months earlier using the laparoscopic method because of its phlegmonous and gangraenosus inflammation. The post-operative course was complicated by increased suppuration in places after removal of the trocars. After including the intravenous antibiotic therapy and under the USG control, the percutaneous drainage of the abscess was performed. While withdrawing the guide of the drainage catheter set, the symptoms of septic shock occurred. The pharmacological treatment was applied with continuation of the antibiotic therapy till a negative result of microbiological tests was obtained and the normalization of life parameters. The patient was not qualified for treatment in the ICU. She was discharged in a generally good condition after 24 days of hospitalization. In the case of this patient, the drain covered with the content of the abscess may have contact with the adjacent tiny blood vessels, which may have contributed to the systemic inflammatory response syndrome that was linked with fast-developing sceptic shock.
Authors and Affiliations
Jadwiga Snarska, Maciej Michalak, Piotr Masiulaniec, Krzysztof Jacyna, Artur Zalewski
Keywords
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- EP ID EP187105
- DOI 10.1515/pjs-2016-0065
- Views 103
- Downloads 0
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