Open AccessPyogenic liver abscess after choledochoduodenostomy for biliary obstruction caused by autoimmune pancreatitis
Author(s) -
Nobuyuki Toshikuni,
Kyohei Kai,
Shuichi Sato,
Motoko Kitano,
Masayoshi Fujisawa,
Hiroaki Okushin,
Kazuhiko Morii,
S. Takagi,
Masahiro Takatani,
Hirofumi Morishita,
Katsuhiko Uesaka,
Shiro Yuasa
Publication year - 2006
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v12.i39.6397
Subject(s) - medicine , pancreatic abscess , abscess , pancreatitis , liver abscess , nephrectomy , surgery , sepsis , autoimmune pancreatitis , cholecystectomy , gastroenterology , kidney
A 68-year-old man underwent cholecystectomy and choledochoduodenostomy for biliary obstruction and nephrectomy for a renal tumor. Based on clinical and histopathologic findings, autoimmune pancreatitis (AIP) was diagnosed. The renal tumor was diagnosed as a renal cell cancer. Steroid therapy was started and thereafter pancreatic inflammation improved. Five years after surgery, the patient was readmitted because of pyrexia in a preshock state. A Klebsiella pneumoniae liver abscess complicated by sepsis was diagnosed. The patient recovered with percutaneous abscess drainage and administration of intravenous antibiotics. Liver abscess recurred 1 mo later but was successfully treated with antibiotics. There has been little information on long-term outcomes of patients with AIP treated with surgery. To our knowledge, this is the second case of liver abscess after surgical treatment of AIP.