KMID : 0614620210770040190
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Korean Journal of Gastroenterology 2021 Volume.77 No. 4 p.190 ~ p.193
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Successful Medical Treatment for Peritonitis Resulting from a Large Pyogenic Liver Abscess Rupture
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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
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Abstract
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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.
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KEYWORD
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Liver abscess, pyogenic, Rupture, Peritonitis, Klebsiella pneumoniae
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