Affordable Access

deepdyve-link
Publisher Website

A Gas-forming Liver Abscess with Massive Bleeding into the Abscess Cavity Due to a Ruptured Inferior Phrenic Artery

Authors
  • Satoh, Mari
  • Kogure, Takayuki
  • Koiwai, Akinobu
  • Fukushi, Daisuke
  • Hirota, Morihisa
  • Endo, Katsuya
  • Satoh, Kennichi
Type
Published Article
Journal
Internal Medicine
Publisher
The Japanese Society of Internal Medicine
Publication Date
Dec 15, 2021
Volume
60
Issue
24
Pages
3913–3919
Identifiers
DOI: 10.2169/internalmedicine.7746-21
PMID: 34911874
PMCID: PMC8758465
Source
PubMed Central
Keywords
Disciplines
  • Case Report
License
Unknown

Abstract

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.

Report this publication

Statistics

Seen <100 times