Abstract
A 72-year-old man, who had been received hemodialysis for chronic kidney disease, underwent resection of hepatic bed and hepatocholedochus with satellite lymphadenectomy for incidentally identified gallbladder carcinoma after laparoscopic cholecystectomy. He developed spike fever on postoperative day (POD) 10.
Highlights
Translocation of microbial materials into the circulation via hepatic vein can cause sepsis and deterioration in patient’s condition [1]. This phenomenon may be associated with a fistulous communication between hepatic-abscess and hepatic vein, which is termed “hepato-venous fistula (HVF)” by Chung, et al [2]
It is thought that liver resection including impaired middle hepatic vein (MHV) and parenchyma suspected of microbial fouling was necessary and that impaired perfusion area should not be left
Percutaneous abscess drainage can be followed by bacteremia presumably due to venous backflow of bacterial materials into the circulation
Summary
Translocation of microbial materials into the circulation via hepatic vein can cause sepsis and deterioration in patient’s condition [1]. A Successful Surgical Treatment of Postoperative Hepato-Venous Fistula *Corresponding author: Toshimitsu Iwasaki, Department of Surgery, National Defense Medical College, 3-2Namiki, Tokorozawa, Saitama 359-0042, Japan, Tel: +81-4-2995-1211, Fax: +81-4-2996-5205 This phenomenon may be associated with a fistulous communication between hepatic-abscess and hepatic vein, which is termed “hepato-venous fistula (HVF)” by Chung, et al [2].
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