title: Abscess of the round ligament of the liver associated with acute obstructive cholangitis and septic thrombosis.
abstract: A man with abscess of the round ligament of the liver associated with acute obstructive suppurative cholangitis and portal thrombosis is reported. A 63-year-old man was admitted with epigastralgia and high fever. Blood tests showed elevation of hepato-biliary enzymes and coagulopathy consistent with acute obstructive suppurative cholangitis and disseminated intravascular coagulation. Computed tomography revealed a small abscess of the round ligament of the liver and left portal thrombosis. After endoscopic biliary stenting, antibiotics and thrombolytic therapy, the high fever, disseminated intravascular coagulation and portal thrombosis rapidly improved, and the round ligament abscess was also later resolved.
authors.affiliation: Department of Gastroenterology, Shinshu University School of Medicine, Matsumoto, Japan. arakuran@shinshu-u.ac.jp
authors.forename: Norikazu
authors.initials: N
authors.lastname: Arakura
authors.forename: Yayoi
authors.initials: Y
authors.lastname: Ozaki
authors.forename: Sachie
authors.initials: S
authors.lastname: Yamazaki
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Ueda
authors.forename: Masafumi
authors.initials: M
authors.lastname: Maruyama
authors.forename: Yoshimi
authors.initials: Y
authors.lastname: Chou
authors.forename: Ryo
authors.initials: R
authors.lastname: Kodama
authors.forename: Mari
authors.initials: M
authors.lastname: Takayama
authors.forename: Hideaki
authors.initials: H
authors.lastname: Hamano
authors.forename: Eiji
authors.initials: E
authors.lastname: Tanaka
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Kawa
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002761:Cholangitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008022:Ligaments / Q000382:microbiology*; D008100:Liver Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000382:microbiology*; D015912:Thrombolytic Therapy; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents