DOI: http://dx.doi.org/10.18203/2349-2902.isj20213627

A rare case of caudate lobe liver abscess

Neetha V., Rajesh B. M., Varsha S.

Abstract


Indian subcontinent has high incidence of both amoebic and pyogenic liver abscess. Currently most of the liver abscesses are managed with interventional radiology based percutaneous drainage (either ultrasound or CT guided). Caudate lobe liver abscess is both a rare and at a peculiar location for such intervention as well as carries a high risk of rupture posing a great challenge for the surgeon in planning the appropriate management. In view of viscinity to vascular structures and viscera near liver hilum and difficult approach by laparoscopic technique, open surgical drainage seems to be a feasible option. 


Keywords


Pyogenic abscess, Caudate lobe

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References


Sarada AK, Mittal R, Basra BK, Mishra A, Talwar N. Three cases of amoebic liver abscess causing inferior vena cava obstruction, with a review of literature. Korean J Hepatol. 2011;17:71-5.

Sharma MP, Sarin SK. Amoebic liver abscess in a north Indian hospital-current trends. Brit J clin prac. 1987;41(6):789-93.

Alkofer B, Dutay C, Parienti JJ. Are pyogenic liver abscesses still a surgical concern? A western experience. HPB Surg. 2012;(2012):316013.

Sonsuz A, Basaranoglu M, Senturk H. Amoebic abscess of the caudate lobe with spontaneous rupture into the biliary tract. J clin Gastroenterol. 1998;26:355-6.

Chung YF. Pyogenic liver abscess predicting failure to improve outcome. Neth J Med. 2008;66:183-4.

Soyer P, Heddadi M, Sihassen C. Amoebic abscess of the caudate lobe.An uncommon topographic form. J Radiol.1992;73(2):121-2.

Thomsen RW, Jepsen P, Sorensen HT. Diabetes mellitus and pyogenic liver abscess: risk and prognosis. Clin infec dis. 2007;44(99):1194-201.

Cheng HC, Chang WL, Chen WY, Kao AW, Chuang CH, Shev BS. Long term outcome of pyogenic liver abscess recurrence. J Clin Gastroenterol. 2008;42:1110-5.

Lal H, Thakral A, Sharma ML. Liver abscess with venous extension-rare complication of a common problem. Turk J Gastroenterol. 2014;25(1):223-8.

Halvorsen RA, Korobkin M, Foster WL, Silverman PM, Thompson WM. The variable CT appearance of hepatic abscesses. AJR Am J Roentgenol. 1984;142:941-6.

Dhir U, Ghuman SS, Singhri S. Caudate lobe liver abscess: Early surgical drainage. J Liver Reb Disord. 2018;4(11):49-51.

Yu SC, Ho SS, Lau WY, Yeung DT, Yuen EH, Lee PS, Metreweli C. Treatment of pyogenic liver abscess: Prospective randomized comparison of catheter drainage and needle aspiration. Hepatology. 2004;39:932-8.

Tan YM, Chung AY, Chow PK, Cheow PC, Wong WK, Ooi LL et al. An appraisal of surgical and percutaneous drainage of pyogenic liver abscess longer than 5 cm. Ann Surg. 2005;241:485-90.