Abstract
A 66-year-old male underwent sigmoidectomy and pancreatoduodenectomy for cancer of the colon and lower bile duct cancer. Five months postoperatively, he was hospitalized for hemorrhagic shock due to hematemesis and melena. Endoscopy revealed hemorrhage at the left intrahepatic bile duct on day 1, but angiography detected no aneurysm rupture. Embolization employing jelpart® was then performed, based on the examination findings. However, melena recurred on day 5, necessitating additional embolization with microcoils. He had been running a persistent high fever since admission to our hospital, and we thus conducted abdominal contrast-enhanced computed tomography. It showed a liver abscess in the left lobe. We performed a left hepatectomy. Careful observation and treatment should be followed with much care for the liver abscess, especially for patients who have undergone transcatheter arterial embolization after biliary tract reconstruction.
