Spontaneous rupture of liver abscess of the left lobe in the right hemithorax
Keywords:
left liver abscess, biliopleural fistula, rigth empyema.Abstract
Introduction: The transdiaphragmatic extension of the pyogenic liver abscess constitutes a rare case of pleural empyema. It is a rapidly progressive disease with high mortality rates close to 100% if it is not treated in time.Objective: To describe the case of a patient with right pleural empyema secondary to a ruptured pyogenic abscess of the left hepatic lobe.
Clinical case: A 70-year-old female patient who came to emergency with fever, abdominal pain and general syndrome. The computed tomography scan showed a liver abscess in the left lobe with almost total liquefaction, and later a right thoracic empyema was a complication. The patient was treated with chest tube drainage. Despite timely antibiotic and surgical treatments, the patient died of septic shock.
Conclusions: A rare case of empyema secondary to liver abscess of the left lobe is reported. The delay of the patient in going to health institutions led to the death of the patient despite antibiotic and surgical treatment.
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References
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4. Park IH, Jun CH, Wi JW, Park SY, Lee WS, Jung SI, et al. Prevalence of and risk factors for endogenous endophthalmitis in patients with pyogenic liver abscesses. Korean J Intern Med. 2015 [acceso: 2018 Jul 23];30(4):453-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26161011/
5. Wong WM, Wong BC, Hui CK, Matthew Ng, Chuen Lai KL, Kuen Tso W, et al. Pyogenic liver abscess: retrospective analysis of 80 cases over a 10-year period. J Gastroenterol Hepatol 2002. [acceso: 15/11/2018]; 17(9):1001-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12167122/
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7. Watanabe I, Kanaychi N, Watanabe H, Hamada A. Successful Treatment of Acute Empyema Due to Rupture of Pyogenic Liver Abscess. Kyobu Geka. 2017 [acceso: 19/12/2018]; 0(9):750-4. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28790240/
10. Jimeno Griñó C, Borderías Claub L, Cegoñino de Susby J, Briz Muñozba EM. Fístula biliopleural tras colecistectomía laparoscópica en un paciente nonagenario. Rev Esp Geriatr Gerontol. 2019 [acceso: 23/07/2018];54(6):360-5 Disponible en: https://www.researchgate.net/profile/Luis_Borderias/publication/331141799-_Fistula_-biliopleural_-tras_colecistecomia_-laparoscopica_en_un_paciente_nonagenario/links/5cf936a7299bf13a3841-5f74/Fistula-biliopleural-tras-colecistecomia-laparoscopica-en-un-paciente-nonagenario.pdf
Published
2021-05-22
How to Cite
1.
Martinez García A, León González OC, Danta Fundora LM. Spontaneous rupture of liver abscess of the left lobe in the right hemithorax. Rev Cubana Med Milit [Internet]. 2021 May 22 [cited 2025 Jun. 14];50(2):e02101003. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1003
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