Obstructive jaundice due to multiple hepatic abscesses.
A 63-year-old Japanese male with diabetes mellitus developed obstructive jaundice following the onset of multiple hepatic abscesses. Percutaneous transhepatic cholangiography showed intrahepatic bile duct irregularity and dilatations accompanied by a complete obstruction of the right branch of the intrahepatic bile duct. Three kinds of organisms were cultured from the blood and the drained bile. The cholangiographic changes returned to the normal after the liver abscesses subsided following biliary drainage and the administration of intravenous antibiotics.
Dohmen
K
K
Department of Internal Medicine, Saga Prefectural Hospital Koseikan, Japan.
Shimada
T
T
Onohara
S
S
Shirahama
M
M
Miyamoto
Y
Y
Irie
K
K
Ishibashi
H
H
D001442:Bacteroides Infections / Q000150:complications* / Q000628:therapy; D002511:Cephalosporins / Q000008:administration & dosage; D002779:Cholestasis / Q000209:etiology*; D004322:Drainage; D004927:Escherichia coli Infections / Q000150:complications* / Q000628:therapy; D006801:Humans; D007262:Infusions, Intravenous; D007710:Klebsiella Infections / Q000150:complications* / Q000628:therapy; D008100:Liver Abscess / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D000097586:Cefozopran
D002511:Cephalosporins; D000097586:Cefozopran