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A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery
An 88-year-old woman developed a huge abscess, forming an air-fluid level in the right lobe of the liver. A pigtail catheter was placed and drained thick pus with putrid odor from the abscess cavity. Gram-positive rods were detected in the pus, which were subsequently determined to be Clostridium pe...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society of Internal Medicine
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8758465/ https://www.ncbi.nlm.nih.gov/pubmed/34911874 http://dx.doi.org/10.2169/internalmedicine.7746-21 |
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author | Satoh, Mari Kogure, Takayuki Koiwai, Akinobu Fukushi, Daisuke Hirota, Morihisa Endo, Katsuya Satoh, Kennichi |
author_facet | Satoh, Mari Kogure, Takayuki Koiwai, Akinobu Fukushi, Daisuke Hirota, Morihisa Endo, Katsuya Satoh, Kennichi |
author_sort | Satoh, Mari |
collection | PubMed |
description | An 88-year-old woman developed a huge abscess, forming an air-fluid level in the right lobe of the liver. A pigtail catheter was placed and drained thick pus with putrid odor from the abscess cavity. Gram-positive rods were detected in the pus, which were subsequently determined to be Clostridium perfringens by culture. She developed hemorrhaging in the abscess cavity when the right inferior phrenic artery was damaged by inflammation that had spread from the abscess. Emergency transarterial embolization with gelatin sponges was performed, and the bleeding ceased. We herein report a rare case of liver abscess that caused inferior phrenic artery injury, resulting in bleeding. |
format | Online Article Text |
id | pubmed-8758465 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japanese Society of Internal Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-87584652022-01-26 A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery Satoh, Mari Kogure, Takayuki Koiwai, Akinobu Fukushi, Daisuke Hirota, Morihisa Endo, Katsuya Satoh, Kennichi Intern Med Case Report An 88-year-old woman developed a huge abscess, forming an air-fluid level in the right lobe of the liver. A pigtail catheter was placed and drained thick pus with putrid odor from the abscess cavity. Gram-positive rods were detected in the pus, which were subsequently determined to be Clostridium perfringens by culture. She developed hemorrhaging in the abscess cavity when the right inferior phrenic artery was damaged by inflammation that had spread from the abscess. Emergency transarterial embolization with gelatin sponges was performed, and the bleeding ceased. We herein report a rare case of liver abscess that caused inferior phrenic artery injury, resulting in bleeding. The Japanese Society of Internal Medicine 2021-12-15 2021-12-15 /pmc/articles/PMC8758465/ /pubmed/34911874 http://dx.doi.org/10.2169/internalmedicine.7746-21 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Satoh, Mari Kogure, Takayuki Koiwai, Akinobu Fukushi, Daisuke Hirota, Morihisa Endo, Katsuya Satoh, Kennichi A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery |
title | A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery |
title_full | A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery |
title_fullStr | A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery |
title_full_unstemmed | A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery |
title_short | A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery |
title_sort | gas-forming liver abscess with massive bleeding into the abscess cavity due to a ruptured inferior phrenic artery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8758465/ https://www.ncbi.nlm.nih.gov/pubmed/34911874 http://dx.doi.org/10.2169/internalmedicine.7746-21 |
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