Abstract
A 68-year-old man was referred to the hospital with a diagnosis of gastrointestinal perforation that was made based on free air beneath the right diaphragm on an abdominal simple X-ray film at another hospital where he visited because of abdominal pain. On admission, there were remarkable tenderness and muscle defence in the entire abdomen. Abdominal ultrasonography and abdominal CT revealed a vomicose lesion with free air in the right lobe of the liver. A diagnosis of generlized peritonitis due to rupture of the liver abscess was made. After percutaneous transhepatic drainage, laparotomic drainage and cholecystectomy were performed. Klebsiella pneumoniae was cultured from the content of the abscess. Postoperative course was uneventful. The liver abscess almost completely disappeared on CT conducted at the 52nd hospital day. Etiologically, hematogenic bacterial infection is thought as a possible cause of the liver abscess, and the rupture of the liver abscess might be induced by filling of gas produced.
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Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
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