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KMID : 1040620170230010087
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Clinical and Molecular Hepatology
2017 Volume.23 No. 1 p.87 ~ p.90
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Hepatogastric fistula as a rare complication of pyogenic liver abscess
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Lee Kyu-Won
Kim Hee-Yeon
Kim Chang-Wook
Kim Young-Ki
Kwon Oh-Beom
Kim Min-Ah
Cho Youn-Gyun
Yang Keung-Mo
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Abstract
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Hepatogastric fistula following a pyogenic liver abscess is extremely rare, and only a handful of cases have been reported. An 88-year-old female presented with generalized weakness, fever and chills. An abdominal computed tomography scan revealed a 5cm-sized hypodense lesion with internal septa in the left lateral section of the liver. Due to initial suspicion of early liver abscess, she was treated with empirical intravenous antibiotics. Initially, aspiration or drainage of the liver abscess was not performed due to immature lesion characteristics. An ultrasonography-guided percutaneous drainage of the liver abscess was performed 17 days after hospitalization due to a more mature lesion appearance on follow-up imaging. On tubography, contrast media leakage through the fistulous tract was visualized. Surgical management was performed, and she was discharged 2 weeks after surgery.
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KEYWORD
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Complication, Gastric fistula, Liver abscess, Pyogenic
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