Liver Infarction due to Liver Abscess

Ashida, Akio; Matsukawa, Hiroshi; Samejima, Jyoji; Fujii, Kenichi; Adachi, Hiroyuki; Ishikawa, Yoshihiro; Kato, Naoto; Kawamoto, Masakazu; Fujisawa, Jun; Rino, Yasushi; Imada, Toshio

doi:10.1159/000144654

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…21,22 Systemic circulatory insufficiency can also reduce intrahepatic blood flow and contribute to the development of hepatic infarction. 23 Hepatic infarction can be caused by iatrogenic injury to the hepatic vessels (mainly the hepatic arteries), liver abscesses, [24][25][26] and can be secondary to shock, sepsis, anesthesia, or biliary tract disease. 5,6 Arteriosclerosis and vascular endothelial damage caused by diabetes and hypertension can also lead to vessel wall thickening and luminal narrowing.…”

Section: Discussionmentioning

confidence: 99%

Hypervirulent Klebsiella pneumoniae Mediated Hepatic Infarction Septic Shock After Rectal Cancer Surgery: A Case Report

Li,

Yang,

Zheng

et al. 2024

IDR

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The liver receives blood from both the hepatic artery and portal vein. Hepatic infarction is rare in clinical practice as both the hepatic artery and portal vein can supply blood to the liver. Here, we reported a case of a 75-year-old man who underwent radical laparoscopic surgery for rectal cancer and subsequently developed hepatic infarction. The patient experienced severe infection, as well as circulatory and respiratory failure on the third day after surgery. The patient presented with high fever, chest tightness, shortness of breath, decreased blood oxygen saturation and blood pressure. The leukocyte count decreased from 8.10 × 10^9/L to 1.75 × 10^9/L. Procalcitonin (PCT) levels increased from 1.02 ng/mL to 67.14 ng/mL, and eventually reaching levels over 200 ng/mL. Enhanced abdominal computed tomography (CT) confirmed the presence of hepatic infarction, but no thrombosis was observed in the hepatic artery or portal vein. Metagenomic next-generation sequencing (mNGS) identified hypervirulent Klebsiella pneumoniae (hvKp) in the patient's blood and ascites, one day earlier than the detection results using traditional culture methods. The patient was diagnosed with hepatic infarction combined with septic shock caused by hvKp. This case emphasizes that in the high-risk group of thrombosis, infection can trigger exacerbated hepatic infarction events, particularly in cases after surgical procedures. For severely ill patients with infectious diseases who are admitted to the ICU with worsening symptoms, it is important to collect appropriate samples and send them for pathogen detection using mNGS in a timely manner. This may aid in early intervention and improve clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Hypervirulent Klebsiella pneumoniae Mediated Hepatic Infarction Septic Shock After Rectal Cancer Surgery: A Case Report

Li,

Yang,

Zheng

et al. 2024

IDR

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“…Other causes of liver infarction such as liver abscess [55,56], Clostridium difficile infection [57], acute pancreatitis [58] and sickle cell disease [59] have also been reported.…”

Section: Liver Infarctionmentioning

confidence: 99%

“…The localization of hepatic infarction is frequently described in the right hepatic lobe [28,33,36,39,45,49,60], but can also occur in the left hepatic lobe [48] and may be multifocal particularly in the peripheries of both lobes [43,49,55,61]. Localization to the caudate lobe has also been reported [62].…”

Section: Imagingmentioning

confidence: 99%

Comments and illustrations of the WFUMB CEUS liver guidelines: Rare vascular pathology, part II

et al. 2023

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In this second part of the topic the hepatic pseudoaneurysm, hepatic infarction, and pylephlebitis are discussed as acute and potentially life-threatening hepatic vascular diseases. The focus is on their appearance on B-mode ultrasonography, duplex ultrasonography, and contrast-enhanced ultrasonography. Zahn’s pseudo infarction is an important differential diagnosis to wedge-shaped hepatic infarction in this context. Knowledge of the data should help raise awareness of these rare findings, to come up with relevant differential diagnoses in the corresponding clinical situation, to interpret the ultrasound images correctly and thus to initiate the appropriate diagnostic and therapeutic steps in time.

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Unexplained huge liver infarction presenting as a tumor with bleeding: A case report

Wang¹,

Yang

Liu³

et al. 2020

WJCC

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Liver Infarction due to Liver Abscess

Cited by 3 publications

References 2 publications

Hypervirulent Klebsiella pneumoniae Mediated Hepatic Infarction Septic Shock After Rectal Cancer Surgery: A Case Report

Hypervirulent Klebsiella pneumoniae Mediated Hepatic Infarction Septic Shock After Rectal Cancer Surgery: A Case Report

Comments and illustrations of the WFUMB CEUS liver guidelines: Rare vascular pathology, part II

Unexplained huge liver infarction presenting as a tumor with bleeding: A case report

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