Pericardial abscess due to transdiaphragmatic perforation of the pyogenic liver abscess

Cho, M. C.; Kim, D. W.; Earm, J. H.; Yoon, Sang-Wook; Kim, S. T.; Hong, Jong-Phil; Ahn, Jeong Ho

doi:10.1093/oxfordjournals.eurheartj.a014730

Cited by 5 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our case, the abscess was located in the left lobe. The transmission route of the PLA to the pericarditis was transdiaphragmatic in most of the previously reported cases [ 6 , 10 – 15 , 17 ], including our case.…”

Section: Discussionmentioning

confidence: 58%

“…A PUBMED search of the English literature identified only a few cases of pericarditis as a complication of PLA [ 6 – 17 ], which we have summarized in Table 1 . The median age of these patients was 49 years (range, 20 ~ 73 years), with 8 of the 13 patients (61.5%) being male.…”

Section: Discussionmentioning

confidence: 99%

“…The median age of these patients was 49 years (range, 20 ~ 73 years), with 8 of the 13 patients (61.5%) being male. The liver abscess was located in the left lobe of the liver in 10 cases (76.9%) [ 6 , 7 , 9 , 11 – 17 ] and in the right lobe (segment V/VIII) in one case (7.7%) [ 8 ], with involvement of both right and left lobes in one case (7.7%) [ 10 ]. In our case, the abscess was located in the left lobe.…”

Section: Discussionmentioning

confidence: 99%

“…segment of Lt. lobe K. pneumoniae Pericardial fluid, hepatic abscess Trans-diaphragmatic Pericardiocentesis, percutaneous abscess drainage Recovery 2006 [ 15 ] N/A N/A Purulent pericarditis, cardiac tamponade Lt. lobe Proteus spp., Enterococcus spp. Pericardial fluid Trans-diaphragmatic Pericardiocentesis, thoracotomy, pericardiectomy N/A 2002 [ 16 ] 48/F No Purulent pericarditis, cardiac tamponade Lt. lobe M. morganii Blood, pericardial fluid, hepatic abscess N/A Pericardiocentesis, thoracotomy, pericardiectomy Recovery 1996 [ 17 ] 32/M No Purulent pericarditis, cardiac tamponade Lt. lobe E. coli Blood, pericardial fluid Trans-diaphragmatic Pericardiotomy, hepatic abscess drainage Recovery Lt., left; Rt., right; Lat., lateral; N/A, not available; P/H, past history; Pul. TB, pulmonary tuberculosis; HTN, hypertension; IHD, ischemic heart disease; A.fib, atrial fibrillation; OA, osteoarthritis; DM, diabetes mellitus; CKD, chronic kidney disease; K. pneumoniae, Klebsella pneumoniae; C. glabrata, Candida glabrata; F. nucleatum, Fusobacterium nucleatum; E. faecalis, Enterococcus faecalis; E. coli, Escherichia coli; K. oxytoca, Klebsiella oxytoca; C. koseri, Citrobacter koseri; M. morganii, Morganella morganii a Hepatic Actinomycosis was diagnosed based on the pathological examination of liver abscess …”

Section: Discussionmentioning

confidence: 99%

“…In previously reported cases of PLA with pericarditis, patients complained of various symptoms including a fever, abdominal pain, dyspnea, and chest pain [ 6 – 17 ]. Tachycardia and septic shock were usually present.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

A rare case of pericarditis and pleural empyema secondary to transdiaphragmatic extension of pyogenic liver abscess

et al. 2018

View full text Add to dashboard Cite

BackgroundTransdiaphragmatic extension of pyogenic liver abscess is the rarest cause of pericarditis and pleural empyema. It is a rapidly progressive and highly lethal infection with mortality rates reaching 100% if left untreated. However, the transmission route, treatment methods and prognosis have not been well studied.Case presentationA 65-year-old male patient presented with a fever, dyspnea, and right upper quadrant abdominal pain. Computed tomography of the chest and abdomen showed huge liver abscess without full liquefaction in the left lobe, large amount of left pleural effusion, and mild pericardial effusion, and the patient was treated with parenteral antibiotics and pigtail insertion at the left pleura. However, four days later, cardiac tamponade was developed and surgical drainage of the abscess and pericardium was performed. Klebsiella pneumonia was isolated from pleural empyema. Twenty-five days after surgery, the patient was discharged without any complications.ConclusionsHerein, we report a rare case of pleural empyema and pericarditis in that resulted from the extension of huge pyogenic liver abscess. Early surgical treatment may have prevented progression of the pericarditis to the more dismal purulent pericarditis. We also review pertinent English literature on pericarditis as a complication of PLA.

show abstract

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%