[Liver abcess and biliary fistula as local complications of acute pancreatitis: approach and treatment].
Acute pancreatitis is frequently associated with the development of local complications: collections, necrosis, pseudocysts and abdominal abscesses. Although the development of liver abscesses has been linked to bile duct obstruction or abdominal surgery in patients with chronic pancreatitis, there are few descriptions of liver abscesses associated with an episode of acute pancreatitis. We report the case of a 45-year-old man with a first episode of severe acute alcoholic pancreatitis, complicated with thrombosis of the right portal branch, liver abscess and intrahepatic biliary fistula. The approach and treatment are described.
Quintas Lorenzo
Paola
P
Servicios de Aparato Digestivo, Complexo Hospitalario de Ourense, Ourense, Galicia, España.
Cubiella Fernández
Joaquín
J
Trillo Lista
Manuel
M
Fernández-Carrera Soler
Jose Manuel
JM
Froján Parga
Purificación
P
Fernández Seara
Javier
J
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001653:Bile Ducts, Intrahepatic / Q000473:pathology; D001658:Biliary Fistula / Q000209:etiology* / Q000601:surgery; D002177:Candidiasis / Q000150:complications / Q000188:drug therapy; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003131:Combined Modality Therapy; D004322:Drainage; D004359:Drug Therapy, Combination; D016984:Enterococcus faecium / Q000302:isolation & purification; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008100:Liver Abscess / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019512:Pancreatitis, Alcoholic / Q000150:complications*; D011169:Portal Vein; D012187:Retroperitoneal Space / Q000601:surgery; D016868:Serratia Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D012706:Serratia marcescens; D016717:Sphincterotomy, Endoscopic; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000209:etiology
D000900:Anti-Bacterial Agents; D000935:Antifungal Agents