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A Case of Pyogenic Liver Abscess Complicated by Hepatobronchial Fistula

Authors
Kim, Shin HeePark, Se YoonKim, Min JinKim, JihyunLee, Sae HwanJeon, Min HyokKim, Hong Soo
Issue Date
Oct-2012
Publisher
Korean Society of Infectious Diseases; Korean Society for Antimicrobial Therapy
Keywords
Liver abscess; Pyogenic; Bronchial fistula
Citation
Infection and Chemotherapy, v.44, no.5, pp 382 - 385
Pages
4
Journal Title
Infection and Chemotherapy
Volume
44
Number
5
Start Page
382
End Page
385
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/14819
DOI
10.3947/ic.2012.44.5.382
ISSN
2093-2340
2092-6448
Abstract
Hepatobronchial fistula, an anatomic communication between the liver parenchyma and the bronchial tree, is a rare condition, which usually develops as a complication of amoebiasis, hydatid cysts, and trauma. We report on a case of a pyogenic liver abscess complicated by a hepatobronchial fistula, which responded well to treatment with antibiotics and percutaneous drainage. A 36-year-old male patient presented with a two-week history of dry cough, shortness of breath, right side abdominal pain, and fever. Chest computed tomography scan showed a heterogeneously enhanced abscess measuring approximately 6 cm in the right liver dome. Percutaneous drainage was performed and antibiotics were administered against Group C Streptococcus cultured from the abscess. After nine days of therapy, repositioning of the drainage catheter was performed and the patient coughed suddenly during injection of contrast media, and communication from abscess to bronchus was discovered. While maintaining abscess drainage and antibiotic therapy, the fistula diminished gradually and disappeared completely with resolution of the liver abscess.
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