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KMID : 0364019960290070785
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 7 p.785 ~ p.788
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Acute Suppurative Pericarditis Caused by Liver Abscess -1 case report-
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홍장수
노윤우/이조한/홍종면/안재호/조명찬/김동운/박국태/윤세진
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Abstract
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Pericardial abscess due to liver abscess is a very rare disease, the result of which is usually fatal when untreated. But a combination of antibiotics therapy and pericardial drainage has brought good result.
A 32-year-old man was admitted to the emergency room because of fever and chilling sensation. Chest X-ray showed cardiomegaly and a mass lesion in the left lobe of liver on ultrasonography. The echocardiography revealed impending cardiac
tamponade.
Pus
drainage of the liver abscess through perforation of right diaphram and pericardiotomy were performed. The pericardium was thickened and 600 ml of purulent fluid and necrotic debris were drained. Fibrin clots were firmly attached to the undelying
myocradium. Histological examination of the pericardium showed acute inflammation with microabsscess and Escherichia coli was cultured from pericardial pus. He was discharged after 4 weeks on antibiotics, but Doppler echocardiograpy revealed a
slightly
thickened pericardium with a mild constrictive physiology.
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KEYWORD
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