Abscess of ligamentum teres hepatis

Sumida, Wataru; Kawashima, Hiroshi; Ishimaru, Tadayuki; Ihara, Yoshiyuki; Kakihara, Tomo; Kato, Reiko; Hayashi, Kentarō; Aoyama, Tomohiro; Omata, Kanako

doi:10.1016/j.epsc.2019.101198

Cited by 3 publications

(6 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, some cases develop an LTH abscess without a history of pancreatitis or biliary tract infection, particularly in children. 1 – 4 Others have proposed that the lymphatic spread of infection could be another cause of abscess formation. 14 Because the superficial lymphatics of the liver drain the lymph from the FL, it could spread infections and malignancies to the FL through blood or lymphatics.…”

Section: Discussionmentioning

confidence: 99%

“…Although the etiology remained unclear, the LTH abscess is supposedly induced by acute calculous cholecystitis, cholangitis, and pancreatitis in adults, as well as omphalitis and infected ventriculoperitoneal shunts in newborns/infants. 1 – 6 The most common symptoms of the disease are fever, abdominal pain, and vomiting, which make clinicians often confused with clinical manifestations that are primarily associated with pancreatitis, biliary tract infection, and other conditions, leading to missed or delayed diagnosis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Abscess of ligamentum teres hepatis post-endoscopic retrograde cholangiopancreatography: A case report and a literature review

Wang

2022

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

Abscess of the ligamentum teres hepatis has been described in the medical literature as an extremely rare clinical entity, which often presents a diagnostic dilemma. A 68-year-old man was hospitalized for upper abdominal pain and obstructive jaundice. The patient presented with low-grade intermittent fever. Laboratory investigations showed a white blood cell count of 32.38 × 109/L, a C-reactive protein level of 247.86 mg/L, abnormal liver enzyme and bilirubin levels, and elevated serum levels of amylase and lipase. He was first diagnosed with acute biliary pancreatitis. A computational tomography scan and magnetic resonance cholangiopancreatography revealed obstructive choledocholithiasis and cholecystolithiasis. The patient received preoperative antibiotics and symptomatic treatments for 5 days, followed by endoscopic retrograde cholangiopancreatography and a subsequent duodenal papilla incision to extract pigment and cholesterol gallstones. The patient recovered and was discharged on the fifth day after surgery. However, 10 days later, the patient was readmitted for the recurrence of acute calculous cholecystitis. Laboratory tests showed increases in total and direct bilirubin, γ-glutamyltransferase, and alkaline phosphatase, but not inflammatory parameters. After the patient’s nutritional status improved on the 11th day after admission, a laparoscopic cholecystectomy was performed. Intraoperative exploration revealed extensive abdominal adhesions; a thickened edematous gallbladder wall; and an unexpected abscess of the ligamentum teres hepatis. Pus aspiration was performed laparoscopically after laparoscopic cholecystectomy, and to ensure elimination of the abscess, ultrasound-guided pus aspiration was also performed 1 week later. Fortunately, the patient made an uneventful recovery and was discharged with a drain tube on the 16th day after surgery. Doppler ultrasound indicated that the abscess had completely disappeared 2 weeks after discharge. This case highlights an unusual presentation of a ligamentum teres hepatis abscess caused by obstructive cholangitis but that appeared after the choledocholithiasis was resolved. However, the mechanism of abscess formation remained uncertain.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Abscess of ligamentum teres hepatis post-endoscopic retrograde cholangiopancreatography: A case report and a literature review

Wang

2022

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…Над желчным пузырем в печени участок сниженной эхогенности 5 мм. В общем анализе крови лейкоцитоз 13,3×10 9…”

Section: случайunclassified

“…Диагноз абсцесс круглой связки печени до операции был установлен в шести случаях, в одном случае предполагали абсцесс печени [3], в одномабсцесс брюшной полости [6], в одном -инфицированную кисту холедоха [7]. В большинстве случаев для диагностики применяли УЗИ органов брюшной полости, при котором определялось объемное образование в правом верхнем квадранте живота, в трех случаях применяли компьютерную томографию [6,8,9].…”

Section: Introductionunclassified

“…В большинстве случаев применяли оперативное лечение. В трех случаях проводилась пункция и аспирация содержимого, однако это было эффективно лишь у одного ребенка [9], у одного ребенка проводилась трехкратная, у одного двухкратная пункция содержимого абсцесса, однако в связи с неэффективностью лечения было проведено иссечение связки [6,7,10,11]. В шести случаях было произведено иссечение связки.…”

Section: Introductionunclassified

See 1 more Smart Citation

Abscess of the liver round link in children

Pepelyaeva

Smirnov

Mokrushina

et al. 2022

jour

View full text Add to dashboard Cite

An abscess of the round ligament of the liver in children, as a result of an inflammatory process, often leading to necrosis, is an extremely rare occurrence. Formations in the round ligament of the liver must be differentiated from liver tumors, which can be diagnosed using instrumental research methods. In the available literature on the abscess of the round ligament of the liver, the authors speak about the preference for complete excision of the ligament. However, analyzing the experience (5 clinical examples are given) of the surgical clinic of the N. F. Filatov Children’s City Clinical Hospital (Moscow, Russia), the most preferable and safe are puncture and drainage of the abscess cavity from the anterior abdominal wall under visual control of manipulation using a laparoscope.

show abstract

Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report

Morales-Cruz¹,

Valdés²,

Velázquez³

et al. 2021

EJMCR

View full text Add to dashboard Cite

Background: Falciform ligament abscesses are uncommon. The few cases reported in the literature are associated with infectious or inflammatory conditions such as acute cholecystitis and omphalitis in pediatric patients. However, it has only been rarely described as a complication for some therapeutic procedures. Case Presentation: A 23-year-old female with primary portal vein thrombosis, portal hypertension, and gastric varices with a history of upper gastrointestinal bleedings. The last episode required cyanoacrylate injection. After administering the injection, septic emboli obstructed the splenic vein causing the recanalization and thrombosis of the paraumbilical veins. Therefore, an abscess formed within the falciform ligament. The treatment consisted of surgical drainage and antibiotics. Conclusion: Diagnosis of falciform ligament abscesses requires a high degree of clinical suspicion and vast knowledge of anatomy. It is important to recognize its pathophysiology and consider the possible differential diagnosis to offer the best approach and treatment for its underlying cause.

show abstract

Abscess of ligamentum teres hepatis

Cited by 3 publications

References 11 publications

Abscess of ligamentum teres hepatis post-endoscopic retrograde cholangiopancreatography: A case report and a literature review

Abscess of ligamentum teres hepatis post-endoscopic retrograde cholangiopancreatography: A case report and a literature review

Abscess of the liver round link in children

Cyanoacrylate injection complications: septic emboli and abscess within the falciform ligament - a case report

Contact Info

Product

Resources

About