Pyogenic liver abscesses secondary to pylephlebitis complicating acute on chronic pancreatitis

Rustagi, Tarun; Uy, Edilfavia Mae; Rai, Mridula

doi:10.1111/j.1751-2980.2012.00608.x

Cited by 6 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PVT resolved with anticoagulant treatment, which also aimed to resolve complications of established portal thrombosis, such as portal hypertension [11] and extension of the thrombosis to the mesenteric venous arches, which may cause lethal intestinal infarction [12]. However, the indication of anticoagulants for patients with liver abscess and PVT is controversial [9] because there have been no prospective randomized controlled studies on the use of anticoagulants [3]. Moreover, PVTs may respond to the liver abscess treatment [3,8].…”

Section: Discussionmentioning

confidence: 99%

“…However, the indication of anticoagulants for patients with liver abscess and PVT is controversial [9] because there have been no prospective randomized controlled studies on the use of anticoagulants [3]. Moreover, PVTs may respond to the liver abscess treatment [3,8].…”

Section: Discussionmentioning

confidence: 99%

“…Liver abscesses were resolved after the combination therapies of antibacterial therapy and abscess drainage in 2 cases [3,4] or antibacterial therapy in other case [2]. The outcomes of PVT were variable; PVT resolved after anticoagulant and antibacterial therapies in one case [2] and without anticoagulant therapy in other case [3].…”

Section: Discussionmentioning

confidence: 99%

“…There have been three reports of liver abscess caused by Streptococcus spp. and complicated by PVT [2][3][4].…”

Section: Discussionmentioning

confidence: 99%

“…There have been three reports of liver abscess caused by Streptococcus spp. and complicated by PVT [2][3][4]. Here we report a rare case of liver abscess caused by α-hemolytic streptococci and complicated by PVT.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

A Case of liver abscess with Portal Vein Thrombosis caused by α-Hemolytic streptococci

Shizuma¹

2017

J Liver

View full text Add to dashboard Cite

Cases of liver abscess complicated by portal vein thrombosis are relatively rare. We report a case of liver abscess caused by α-hemolytic streptococci and complicated by portal vein thrombosis. A 51-year-old male presented with fever and right hypochondralgia. He had watery diarrhoea and bloody stool for over 1 month before presentation. Laboratory tests showed elevated hepatobiliary enzymes, inflammation findings, and anemia. Abdominal imaging revealed liver abscess in the right lobe and thrombosis of right and left branches of the portal vein; no thrombosis was observed in the extrahepatic portal vein. Colonoscopy revealed nonspecific colitis without diverticula or malignancies, and no possible causes of liver abscess except for enterocolitis were detected. Clinical course and laboratory findings indicated that an amoebic liver abscess was unlikely. Blood and pus cultures were positive for α-hemolytic streptococci. A diagnosis of liver abscess caused by α-hemolytic streptococci and complicated by portal vein thrombosis was made. The size of the liver abscess reduced, and inflammation findings resolved with 3 weeks of antibiotic treatment and abscess drainage. Portal vein thrombosis disappeared after 2 week anticoagulant therapy.

show abstract