Abscess of the round ligament of the liver associated with acute obstructive cholangitis and septic thrombosis.
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.
Arakura
Norikazu
N
Department of Gastroenterology, Shinshu University School of Medicine, Matsumoto, Japan. arakuran@shinshu-u.ac.jp
Ozaki
Yayoi
Y
Yamazaki
Sachie
S
Ueda
Kazuhiko
K
Maruyama
Masafumi
M
Chou
Yoshimi
Y
Kodama
Ryo
R
Takayama
Mari
M
Hamano
Hideaki
H
Tanaka
Eiji
E
Kawa
Shigeyuki
S
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
D000900:Anti-Bacterial Agents