The Korean Journal of Gastroenterology (Apr 2021)

Successful Medical Treatment for Peritonitis Resulting from a Large Pyogenic Liver Abscess Rupture

  • Hee Jun Myung,
  • Soo Hyung Ryu,
  • Chung Hao Liu,
  • Jung Hoon Yoo,
  • Seo Hyun Kim,
  • Seung Hyuk Kim,
  • Won Eui Yoon,
  • Tae Young Park,
  • Jeong Seop Moon

DOI
https://doi.org/10.4166/kjg.2021.005
Journal volume & issue
Vol. 77, no. 4
pp. 190 – 193

Abstract

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The rupture of a pyogenic liver abscess (PLA) with peritonitis is a rare occurrence but a surgical emergency with a high mortality rate in the case of gas-forming PLA. Rare cases of ruptured PLA that recovered completely with only medical treatment have been reported. This paper reports a case of a large PLA rupture with peritonitis. In this case, surgical intervention was too risky because of the patient’s age and poor general condition. The patient recovered fully with appropriate antibiotic therapy and sufficient percutaneous drainage. Therefore, medical treatment may be considered an alternative option in cases of a ruptured large PLA with peritonitis if surgical intervention is too risky.

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