title: Successful non-surgical treatment of ruptured pyogenic liver abscess.
abstract: A 72-year-old man with a fever and abdominal pain was referred to our hospital. On admission, the patient exhibited the clinical signs of septic shock. Computed tomography revealed a rim-and septal-enhanced lesion in the left lobe of the liver with hemorrhage along the hepatic capsule. Because Klebsiella pneumoniae was detected in both the blood and aspirated abdominal fluid, the patient was diagnosed with a ruptured pyogenic liver abscess. He was successfully treated with percutaneous abscess drainage and the systemic administration of antibiotics. Non-surgical treatment for a ruptured pyogenic liver abscess is therefore effective in at least some cases.
authors.affiliation: Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan.
authors.forename: Tenyu
authors.initials: T
authors.lastname: Motoyama
authors.forename: Sadahisa
authors.initials: S
authors.lastname: Ogasawara
authors.forename: Tetsuhiro
authors.initials: T
authors.lastname: Chiba
authors.forename: Eiichiro
authors.initials: E
authors.lastname: Suzuki
authors.forename: Hajime
authors.initials: H
authors.lastname: Yokota
authors.forename: Yuki
authors.initials: Y
authors.lastname: Haga
authors.forename: Naoya
authors.initials: N
authors.lastname: Kanogawa
authors.forename: Tomoko
authors.initials: T
authors.lastname: Saito
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Ooka
authors.forename: Akinobu
authors.initials: A
authors.lastname: Tawada
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Kanai
authors.forename: Osamu
authors.initials: O
authors.lastname: Yokosuka
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy*; D007711:Klebsiella pneumoniae; D008099:Liver / Q000473:pathology; D046290:Liver Abscess, Pyogenic / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy*; D008297:Male; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents