Abstract
A case of liver abscess in a patient undergoing hemodialysis.
Infection is one of the common complications seen in hemodialysis patients and may prove fatal. A 69-year-old woman had been receiving maintenance hemodialysis from March 1994. After 8 months, she was admitted to our hospital with a high fever. Abdominal echotomography and CT showed an abscess at S5 in the right hepatic lobe and cholecyst stones. Intravenous antibiotic treatment and US-guided abscess drainage was performed. Three months after drainage, the liver abscess disappeared. One year later, the abscess reappeared. US-guided abscess drainage was again performed, and it was very effective.
Since we were afraid that liver abscess night recur when complicated with cholecyst stones, cholecystectomy was performed. There was no complication from the operation, and this case was succesfully managed.