Title: A Complicated Case of Recurrent Liver Abscess Requiring Right Hepatectomy
Authors: Dr Pramod Nichat, Dr Pravin Agarwal, Dr Priya Ahire, Dr Saad Shaikh, Dr Kushagra Rahul, Dr Geoffrey Kharmutee, Dr Dinesh Goswami, Dhiraj Kachare
DOI: https://dx.doi.org/10.18535/jmscr/v8i9.15
Abstract
Abscess of the liver has been described since the time of Hippocrates (400 BCE), with the first published review by Bright appearing in 1936.In 1938, Ochsner's classic review heralded surgical drainage as the definitive therapy, as in most cases the abscess spares the biliary tree[1].
But few of the abscesses are invasive enough to involve the biliary tree where simple drainage can lead to the formation of a biliary fistula[2]. Such cases require extensive radiological elucidation and surgical management[2,3].
The authors here present a case of liver abscess which in spite of drainage with USG guided pigtail/aspiration and conservative management progressed into a non healing recurrent abscess involving the right biliary tree requiring right hepatectomy.
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