Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of reccurent liver abscess with hepatobronchial fistula
Yoshiki HORI, Hideyuki IWATA, Tetsuro SUZUKI, Kouji MATSUMOTO, Tetsuya KUROSAKI, Masayuki HATANAKA
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2012 Volume 73 Issue 5 Pages 1200-1204

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Abstract
A 78-year-old man was operated on for drainage for panperitonitis due to ruputure of a liver abscess. It was complicated by septic shock, and abscess cavity was treated by continuous drainage, therefore he was discharged one month after operation. Two months after discharge, he was admitted again with the complaint of a fever and appetite loss. Abdominal computed tomography (CT) detected a relapse of the abscess in the right liver lobe. Cavity enhancement showed a hepatobronchial fistula communicating with a right bronchus. Continuous drainage and chemotherapy by antibiotics was effective, and he was discharged 3 weeks after admission. The size of the abscess cavity was gradually minimized, and the fistula closed. Two years have passed since the treatment, and there is no evidence of reccurence.
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© 2012 Japan Surgical Association
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