자발적인 간피막하 출혈을 동반한 화농성 간농양 1 예

• Published in: The Korean journal of gastroenterology Vol. 38; no. 6; pp. 449 - 452
• Main Authors: 정도영, Do Young Jung, 이수진, Su Jin Lee, 이미화, Me Hwa Lee, 최덕례, Duck Yeii Choi, 박성규, Sung Kyu Park, 윤현수, Hyeon Soo Yoon, 김건영, Kun Young Kim, 한현영, Hyun Young Han, 강동욱, Dong Wuk Kang
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 30.12.2001
• ISSN: 1598-9992

Pyogenic liver abscess is a serious clinical problem, which gives rise to complication in 30-50% of the cases. Spontaneous subcapsular hemorrhage is a rare complication associated with liver abscess. A 30-year-old woman was admitted with right upper quadrant abdominal pain, febrile sensation, and myalgia for 3 days. A septated 6×6 ㎎ sized ill-defined round and low-density lesion with hematoma was observed in subcapsular area of both hepatic lobe. Hepatic arteriography showed stretching of the branches of the right hepatic artery without extravasation of the contrast material. Ultrasono-guided percutaneous transhepatic aspiration was performed for subcapsular hematoma. The aspirates had blood count of WBC 58,500/㎣, hemoglobin of 7.8 g/dL, and platelet of 20,000/㎣. The aspirates of low density lesion was pus, in which Klebsiella pneumoniae was isolated. Liver biopsy was performed around the abscess and there was no evidence of hepatic neoplasia. After treatment of antibiotics for six weeks and percutaneous transhepatic drainage, she recovered completely. We report a rare case of pyogenic liver abscess complicated with spontaneous subcapsular hemorrhage. (Korean J Gastroenterol 2001;38：449-452)