E-ISSN 2367-699X | ISSN 2367-7414
 

Case Report 


MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE

Ayodele Atolagbe, Oloruntobi Rahaman.

Abstract
An unusual complication of gallbladder empyema is its rupture into the liver forming giant multiloculated pyogenic abscesses. This condition is rapidly fatal in diabetic and immunocompromised patients.
We present a 79-year-old African American woman resident in New York City with a medical history of diabetes mellitus who presented at the ED with constitutional symptoms and right upper quadrant pain of a few days duration. She was tender and had a positive murphy’s sign on clinical examination coupled with tachycardia and a low-grade fever. Laboratory findings of leukocytosis, and metabolic acidosis, lactic academia and elevated ketones with moderately deranged hepatic function tests and negative tumor markers. Management consisted of broad spectrum antibiotics and an urgent open cholecystectomy and drainage of multiple multi-loculated hepatic abscesses. A repeat ultrasonogram showed a remnant collection which was drained by interventional radiology and drains left in-situ. She was discharged after four weeks of parenteral antibiotics with repeat sonogram showing complete resolution of hepatic abscess.

Key words: pyogenic hepatic abscess gallbladder, pyogenic abscess of the liver, pyogenic liver abscess, pyogenic hepatic abscess treatment, pyogenic hepatic abscess drainage


 
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How to Cite this Article
Pubmed Style

Ayodele Atolagbe, Oloruntobi Rahaman. MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE. Int J Surg Med. 2016; 2(1): 36-38. doi:10.5455/ijsm.20150818032124


Web Style

Ayodele Atolagbe, Oloruntobi Rahaman. MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE. http://www.ejos.org/?mno=197628 [Access: July 23, 2019]. doi:10.5455/ijsm.20150818032124


AMA (American Medical Association) Style

Ayodele Atolagbe, Oloruntobi Rahaman. MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE. Int J Surg Med. 2016; 2(1): 36-38. doi:10.5455/ijsm.20150818032124



Vancouver/ICMJE Style

Ayodele Atolagbe, Oloruntobi Rahaman. MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE. Int J Surg Med. (2016), [cited July 23, 2019]; 2(1): 36-38. doi:10.5455/ijsm.20150818032124



Harvard Style

Ayodele Atolagbe, Oloruntobi Rahaman (2016) MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE. Int J Surg Med, 2 (1), 36-38. doi:10.5455/ijsm.20150818032124



Turabian Style

Ayodele Atolagbe, Oloruntobi Rahaman. 2016. MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE. International Journal of Surgery and Medicine, 2 (1), 36-38. doi:10.5455/ijsm.20150818032124



Chicago Style

Ayodele Atolagbe, Oloruntobi Rahaman. "MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE." International Journal of Surgery and Medicine 2 (2016), 36-38. doi:10.5455/ijsm.20150818032124



MLA (The Modern Language Association) Style

Ayodele Atolagbe, Oloruntobi Rahaman. "MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE." International Journal of Surgery and Medicine 2.1 (2016), 36-38. Print. doi:10.5455/ijsm.20150818032124



APA (American Psychological Association) Style

Ayodele Atolagbe, Oloruntobi Rahaman (2016) MULTIPLE HEPATIC ABSCESSES FROM A RUPTURED GALLBLADDER EMPYEMA – A CASE REPORT AND REVIEW OF THE LITERATURE. International Journal of Surgery and Medicine, 2 (1), 36-38. doi:10.5455/ijsm.20150818032124