Liver Abscess Secondary to Acute Perforated Cholecystitis: Case Report and Literature Review

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Guerrero Barrera Octavio
Viurcos Sanabria Victoria Scarlett
Meza Sánchez Julio César

Abstract

Pyogenic liver abscess is a rare clinical entity, having a reported incidence of 1.1/100,000 to 3.6/100,000 people in western countries, and with a reported mortality between 5.6-10%, however, this mortality can increase up to 22% if there are multiple abscesses. The prevalence of acute cholecystitis is reported at 0.8-3.8%; Only 2% of all patients with cholelithiasis will present a gallbladder perforation, and the reported mortality in these cases has been reported between 12 to 16%. The most common site of perforation is the gallbladder fundus because it is the most distal portion, which leads to having less blood flow. Its clinical presentation is not specific, and the ultrasound is usually the first imaging tool for diagnosis. Treatment will depend on the clinical condition of each patient. Here we present an 88-year-old female case successfully treated with laparoscopic cholecystectomy and liver abscess drainage despite hemodynamic instabilityPyogenic liver abscess is a rare clinical entity, having a reported incidence of 1.1/100,000 to 3.6/100,000 people in western countries, and with a reported mortality between 5.6-10%, however, this mortality can increase up to 22% if there are multiple abscesses. The prevalence of acute cholecystitis is reported at 0.8-3.8%; Only 2% of all patients with cholelithiasis will present a gallbladder perforation, and the reported mortality in these cases has been reported between 12 to 16%. The most common site of perforation is the gallbladder fundus because it is the most distal portion, which leads to having less blood flow. Its clinical presentation is not specific, and the ultrasound is usually the first imaging tool for diagnosis. Treatment will depend on the clinical condition of each patient. Here we present an 88-year-old female case successfully treated with laparoscopic cholecystectomy and liver abscess drainage despite hemodynamic instability.

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How to Cite
Guerrero Barrera Octavio, Viurcos Sanabria Victoria Scarlett, & Meza Sánchez Julio César. (2024). Liver Abscess Secondary to Acute Perforated Cholecystitis: Case Report and Literature Review. International Journal of Medical Science and Clinical Research Studies, 4(03), 426–428. https://doi.org/10.47191/ijmscrs/v4-i03-11
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References

I. Dos Santos, G, Voliovici, E, Olivera, E. Cholecystitis and syncronus liver abscess: percutaneous treatment results. Acta Scientific Gastrointestinal Disorders 2019; 2(9): 16-21

II. Hsin-Chi, L, Tseng-Shing, C. Gallbladder perforation in cholecystitis with liver abscess formation and septic thrombophlebitis of portal vein mimicking presentation of liver malignancy. Advances in Digestive Medicine 2014; 1: 95-99

III. Hussain, T, Adams, M, Ahmed, M, et al. Intrahepatic perforation of the gallbladder causing liver abscesses: case studies and literature review of a rare complication. The Annals of the Royal College of Surgeons 2016; 98: e88-e91

IV. Paramythiotis, D, Karakatsanis, A, Karlafti, E, et al. Pyogenic liver abscess complicating acute cholecystitis: different management options. Medicina 2022; 58, 782

V. Weeraddana, P, Dharmaratna, D, Ahmed-Khan, M, et al. Synchronous liver abscess with cholecystitis: a rare case of initial presentation of gallbladder cancer posing a diagnosis challenge. Cureus 2023; 15(3): e36332