Hepatic Abscess Following Acute Appendicitis

被引：2

作者：

Ward, Tavish E. ^{[1
]}

Mangal, Rohan K. ^{[2
]}

Stead, Thor S. ^{[3
]}

Ganti, Latha ^{[4
,5
,6
]}

机构：

[1] Trinity Preparatory Sch, Biol, Winter Pk, CO USA

[2] Univ Miami, Miller Sch Med, Med, Miami, FL 33136 USA

[3] Brown Univ, Warren Alpert Med Sch, Med, Providence, RI 02912 USA

[4] Univ Cent Florida, Coll Med, Emergency Med, Orlando, FL 32816 USA

[5] Envis Physician Serv, Emergency Med, Plantation, FL 33322 USA

[6] HCA Florida Ocala Hosp, Emergency Med, Ocala, FL 34471 USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2022年 / 14卷 / 07期

关键词：

liver abscess drainage; abdominal pain in females; appendicitis; hepatic abscess; pyogenic hepatic abscess;

D O I：

10.7759/cureus.26867

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The authors present the case of a 29-year-old female diagnosed with acute appendicitis who underwent an uneventful laparoscopic appendectomy. Three weeks later, she returned to the emergency department with fevers, abdominal pain, chills, and nausea. Laboratory analysis revealed elevated liver enzymes and leukocytosis, and a computed tomography scan of the abdomen revealed a liver abscess. Interventional radiology placed an 8 French drainage catheter in the hepatic abscess and drained 40cc of purulent fluid. A culture of the abscess fluid revealed Streptococcus constellatus, Bacteroides fragilis, and Bacteroides ovatus. We believe appendicitis causes hematogenous spreading of bowel organisms along the portal vein, which is seeded to the liver.

引用

页数：4

共 10 条

[1]

Akhondi H., 2022, StatPearls [Internet]

[2] Appendicitis with direct fistulation into the liver: a forgotten cause of pyogenic liver abscess [J].