A Case of Intractable Klebsiella Pneumoniae-induced Liver Abscess Cured by Hepatectomy

Abstract

A patient with a Klebsiella pneumoniae-induced liver abscess who developed sepsis despite antibiotics and percutaneous transhepatic abscess drainage (PTAD), who was successfully cured by semi-emergency right lobectomy on Day 35 after the start of conservative treatment, is presented. There are still cases of patients such as the present one who require surgical treatment after failing to respond to a range of conservative therapies. The decision on surgical indications for pyogenic liver abscess is a difficult one, and its characteristics on diagnostic imaging (such as multiple abscesses, large size, seclusion by septa, a thick capsule, and the concomitant presence of biliary duct lesions), its properies (high viscosity), and the causative pathogen must all be taken into account. Hepatectomy is an effective method of treatment that enables rapid recovery in patients who do not respond to conservative therapy, and it should be considered as one option for the treatment of pyogenic liver abscess.