복강 내 유리기체 형태로 발견된 간 농양 파열

• Published in: Annals of surgical treatment and research Vol. 66; no. 1; pp. 60 - 63
• Main Authors: 김희정(Hee Jeoung Kim), 장혁재(Hyuk Jai Jang), 조용필(Yong Pil Cho), 김용호(Yong Ho Kim), 정승문(Seung Mun Jung), 안재홍(Jae Hong Ahn), 한명식(Myeng Sik Han)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 2004
• Subjects: 일반외과학; 화농성 간농양의 파열; Rupture of a gas-containing pyogenic liver abscess; Pneumoperitoneum; 기복강
• ISSN: 2288-6575; 2288-6796

Herein, a rare case of a spontaneous rupture of a liver abscess, resulting in pneumoperitoneum, is reported. A 71-year old female with uncontrolled diabetes mellitus, developed an acute abdomen. The chest x-ray and plain abdominal radiography findings revealed bilateral subphrenic free air, and the computed tomography suggested the rupture of a gas-containing pyogenic liver abscess in the left hepatic lobe, extending to the lesser omentum. An emergency laparotomy was performed, there was a ruptured pyogenic liver abscess in the left lobe, but no perforation of the hallow viscus organ. A left lobectomy of the liver, with surgical drainage, was performed. The occurrence of pneumoperitoneum secondary to the intraperitoneal rupture of a pyogenic liver abscess, is extremely rare. The condition is associated with high mortality as they are often misdiagnosis at a late stage as a hollow viscus perforation. Recently advances in computed tomography and ultrasound have resulted in liver abscesses being detect earlier. It must be borne in mind that a rupture of a gas-containing liver abscess can also mimic a perforation of the gastrointestinal tract. KCI Citation Count: 0