title: Successful hepatectomy for intraperitoneal rupture of pyogenic liver abscess caused by Klebsiella pneumoniae.
abstract: Klebsiella pneumoniae (KP) is the most common cause of pyogenic liver abscess in eastern Asia. KP liver abscess commonly presents as a single large abscess with a predominantly solid consistency. It is sometimes unsuitable for percutaneous catheter drainage because of the poorly liquefied contents. Antibiotic therapy alone may raise a probability of treatment failure and occurrence of complications such as abscess rupture. Hepatic or portal venous thrombosis, hematogenous spread, and spontaneous rupture also occur frequently. We report a case of KP liver abscess with a typical solid appearance, complicated by disseminated intravascular coagulation, spontaneous rupture, and pyogenic spondylitis.
authors.affiliation: Department of Hepatology, Japanese Red Cross Society Himeji Hospital, 1-12-1 Shimoteno, Himeji, Hyogo, 670-8540, Japan. moriikazuhiko@gmail.com.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Morii
authors.affiliation: Department of Internal Medicine, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
authors.forename: Asako
authors.initials: A
authors.lastname: Kashihara
authors.affiliation: Department of Internal Medicine, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
authors.forename: Sho
authors.initials: S
authors.lastname: Miura
authors.affiliation: Department of Hepatology, Japanese Red Cross Society Himeji Hospital, 1-12-1 Shimoteno, Himeji, Hyogo, 670-8540, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Okuhin
authors.affiliation: Department of Gastroenterological Surgery, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
authors.forename: Takanori
authors.initials: T
authors.lastname: Watanabe
authors.affiliation: Department of Gastroenterological Surgery, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
authors.forename: Shiso
authors.initials: S
authors.lastname: Sato
authors.affiliation: Department of Internal Medicine, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Uesaka
authors.affiliation: Department of Internal Medicine, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
authors.forename: Shiro
authors.initials: S
authors.lastname: Yuasa
keywords: Hepatic venous thrombosis; Klebsiella pneumoniae; Liver abscess; Pyogenic spondylitis; Rupture