The development of a pyogenic liver abscess following radical resection of cholangiocellular carcinoma with ligation of the right hepatic artery: report of a case.
We present herein the case of a pyogenic liver abscess developing from hepatic ischemia caused by resection of the right hepatic artery when a left hemihepatectomy with caudate lobectomy and extrahepatic bile duct resection was performed for cholangiocellular carcinoma. Postoperative cholangiography revealed communication between the abscess cavity and the intrahepatic bile duct. The liver abscess was successfully treated by percutaneous transhepatic drainage. Thus, breakdown of the intrahepatic bile duct due to ischemia may play an important role in the development of a pyogenic liver abscess following hepatic arterial occlusion.
Tanaka
K
K
Second Department of Surgery, Faculty of Medicine, Kagoshima University, Japan.
Nishimura
A
A
Hombo
K
K
Furoi
A
A
Ikoma
A
A
Yamauchi
T
T
Taira
A
A
D001650:Bile Duct Neoplasms / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic; D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000601:surgery*; D004322:Drainage; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects*; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000150:complications; D008026:Ligation; D008099:Liver / Q000098:blood supply; D008100:Liver Abscess / Q000209:etiology* / Q000628:therapy; D008113:Liver Neoplasms / Q000601:surgery*; D008875:Middle Aged; D013492:Suppuration