title: [Liver abcess and biliary fistula as local complications of acute pancreatitis: approach and treatment].
abstract: 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.
authors.affiliation: Servicios de Aparato Digestivo, Complexo Hospitalario de Ourense, Ourense, Galicia, España.
authors.forename: Paola
authors.initials: P
authors.lastname: Quintas Lorenzo
authors.forename: Joaquín
authors.initials: J
authors.lastname: Cubiella Fernández
authors.forename: Manuel
authors.initials: M
authors.lastname: Trillo Lista
authors.forename: Jose Manuel
authors.initials: JM
authors.lastname: Fernández-Carrera Soler
authors.forename: Purificación
authors.initials: P
authors.lastname: Froján Parga
authors.forename: Javier
authors.initials: J
authors.lastname: Fernández Seara
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D000935:Antifungal Agents