Successful Medical Treatment for Peritonitis Resulting from a Large Pyogenic Liver Abscess Rupture

간농양 파열로 인한 복막염의 비수술적 치료 증례
  • Myung, Hee Jun; 
  • Ryu, Soo Hyung; 
  • Liu, Chung Hao; 
  • Yoo, Jung Hoon; 
  • Kim, Seo Hyun; 
  • ... Park, Tae Young; 
  • 외 3명
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초록

The rupture of a pyogenic liver abscess (PLA) with peritonitis is a rare occurrence but a surgical emergency with a high mortality rate in the case of gas-forming PLA. Rare cases of ruptured PLA that recovered completely with only medical treatment have been reported. This paper reports a case of a large PLA rupture with peritonitis. In this case, surgical intervention was too risky because of the patient's age and poor general condition. The patient recovered fully with appropriate antibiotic therapy and sufficient percutaneous drainage. Therefore, medical treatment may be considered an alternative option in cases of a ruptured large PLA with peritonitis if surgical intervention is too risky. (Korean J Gastroenterol 2021;77:190-193)

키워드

Liver abscess; pyogenic; Rupture; Peritonitis; Klebsiella pneumoniae; MANAGEMENT
제목
Successful Medical Treatment for Peritonitis Resulting from a Large Pyogenic Liver Abscess Rupture
제목 (타언어)
간농양 파열로 인한 복막염의 비수술적 치료 증례
저자
Myung, Hee Jun; Ryu, Soo Hyung; Liu, Chung Hao; Yoo, Jung Hoon; Kim, Seo Hyun; Kim, Seung Hyuk; Yoon, Won Eui; Park, Tae Young; Moon, Jeong Seop
DOI
10.4166/kjg.2021.005
발행일
2021-04
유형
Article
저널명
대한소화기학회지
권
77
호
4
페이지
190 ~ 193

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