1/19. liver abscess due to ascarid in iran.A deep 3-cm liver abscess with resulting exogenous cholecystitis, pericholecystitis and adhesions caused by an adult ascaris was discovered by laparotomy in a 63-year-old man in northwest iran. Though ascaris infection rates are high in most major areas of the country, this apparently is the first case of liver abscess caused by ascaris to be reported from iran.- - - - - - - - - - ranking = 1keywords = cholecystitis (Clic here for more details about this article) |
2/19. Postchemoembolization liver abscess: findings on hepatobiliary scintigraphy.We describe a 41-year-old man with a 1-week history of nausea and vomiting 1 month after chemoembolization of a liver metastasis. The patient subsequently became febrile and developed right upper quadrant abdominal and midback pain. Findings of initial laboratory and imaging studies (a noncontrast computed tomographic [CT] scan and ultrasound) were not remarkable. Hepatobiliary scintigraphy, performed to rule out cholecystitis, revealed an abnormal area in the right lobe of the liver consistent with a focal bile leak into an abscess cavity. The patient was subsequently treated for liver abscess. In conclusion, hepatobiliary scintigraphy should be considered as a first-line test in the work-up of patients whenever a postchemoembolization complication is considered likely.- - - - - - - - - - ranking = 0.5keywords = cholecystitis (Clic here for more details about this article) |
3/19. Xanthogranulomatous cholecystitis with a liver abscess and metastatic endophthalmitis: report of a case.There have been no reported cases of xanthogranulomatous cholecystitis with a liver abscess and metastatic endophthalmitis in the literature. There has been only one other case of xanthogranulomatous cholecystitis associated with a liver abscess in japan prior to the present report. A 53-year-old man was admitted to a local hospital complaining of high fever. Abdominal ultrasonography and computed tomography showed a liver abscess. After percutaneous transhepatic abscess drainage, he complained of an abnormal sensation in his left eyeball and was diagnosed to have endophthalmitis. After being treated for the endophthalmitis, he was referred to our hospital to have the liver abscess evaluated. Endoscopic retrograde cholangiopancreatography showed a normal biliary system without any communication with the liver abscess. Two weeks after endoscopic retrograde cholangiopancreatography he complained of right hypochondralgia. ultrasonography revealed the presence of sludge in the swollen gallbladder. Under a diagnosis of cholecystitis with a liver abscess, a cholecystectomy was performed. A histological examination indicated xanthogranulomatous cholecystitis based on the findings of a granulomatous lesion consisting of foamy cells in the gallbladder wall. We herein present the first known case of xanthogranulomatous cholecystitis with a liver abscess and metastatic endophthalmitis, while also making a review of the literature.- - - - - - - - - - ranking = 4.5keywords = cholecystitis (Clic here for more details about this article) |
4/19. liver abscess due to acute cholecystitis. Report of five cases.Acute cholecystitis is one of the most frequent causes of admissions to surgical departments. The development of liver abscesses is an uncommon and underrated complication of acute cholecystitis. In this study we report on our experience with the treatment of 5 cases of liver abscesses secondary to acute cholecystitis. All 5 cases were characterised by a lengthy period between the onset of acute cholecystitis symptoms and the subsequent diagnosis of a secondary liver abscess. In 4 out of 5 patients, admission for liver abscess occurred 12, 30, 50 and 120 days, respectively, after the acute cholecystitis episode. The liver abscesses were successfully treated with percutaneous drainage under US guidance (4 cases) and 4 patients underwent percutaneous cholecystostomy to treat the acute cholecystitis. After resolution of the acute phase, an elective cholecystectomy was performed in 4 out of 5 cases. Failure to diagnose acute cholecystitis at onset or inappropriate treatment of the condition could lead to the development of liver abscesses.- - - - - - - - - - ranking = 5.5keywords = cholecystitis (Clic here for more details about this article) |
5/19. Human infection caused by clostridium hathewayi.We describe a 27-year-old man with acute cholecystitis, hepatic abscess, and bacteremia caused by clostridium hathewayi, a newly described gram-negative, endospore-forming, rod-shaped bacterium. This report is the first of human infection caused by this microorganism.- - - - - - - - - - ranking = 0.5keywords = cholecystitis (Clic here for more details about this article) |
6/19. Candidal liver abscesses and cholecystitis in a 37-year-old patient without underlying malignancy.We report a case of candidal liver abscesses and concomitant candidal cholecystitis in a diabetic patient, in whom differences were noted relative to those found in patients with hematologic malignancies. In our case, the proposed entry route of infection is ascending retrograde from the biliary tract. bile and aspirated pus culture repeatedly tested positive, and blood negative, for candida albicans and candida glabrata. Cholecystitis was cured by percutaneous gallbladder drainage and amphotericin b therapy. The liver abscesses were successfully treated by a cumulative dosage of 750 mg amphotericin b. We conclude that in cases involving less immunocompromised patients and those without candidemia, a lower dosage of amphotericin b may be adequate in treating candidal liver abscesses.- - - - - - - - - - ranking = 2.5keywords = cholecystitis (Clic here for more details about this article) |
7/19. churg-strauss syndrome complicated by colon erosion, acalculous cholecystitis and liver abscesses.We report on a case of churg-strauss syndrome (CSS) with colon erosion, cholecystitis and liver abscesses. A 21-year-old woman with a history of bronchial asthma for 3 years was admitted with a complaint of abdominal pain. Laboratory findings included remarkable leukocytosis and eosinophilia, and a colonoscopy revealed erosion from the rectum to the ileocecal region. In addition, a colonic biopsy specimen showed necrotizing vasculitis and marked eosinophilic infiltration. On the basis of the clinical features and histopathological findings, she was diagnosed with CSS and subsequently treated with oral prednisolone, after which the eosinophilia and abdominal pain disappeared. However, on the 15th d in hospital she developed cholecystitis and liver abscesses. She was therefore treated with antibiotics and as a result went into clinical remission.- - - - - - - - - - ranking = 3keywords = cholecystitis (Clic here for more details about this article) |
8/19. A case of multiple cholangiogenic liver abscess due to residual biliary stone cured by percutaneous drainage controlled by CT and endoscopic papillotomy.The case of a patient treated for multiple cholangiogenic liver abscess due to residual biliary stone after acute cholecystitis is reported. The multiple liver cyst was cured by percutaneous transhepatic double drainage controlled by CT as well as puncture and aimed local systemic antibiotic treatment. The residual gallbladder stone was removed by endoscopic papillotomy. A similar case has not been reported so far.- - - - - - - - - - ranking = 0.5keywords = cholecystitis (Clic here for more details about this article) |
9/19. Hepatic abscess. diagnosis in the adult by total body opacification.Two adults had the hypovascular nature of their hepatic abscesses ascertained by total body opacification. In one, total body opacification identified the hypovascular nature of the lesion, facilitating its differentiation from vascular hepatoma. In the other, the clinical diagnosis was acute cholecystitis with empyema of the gallbladder, and the liver was normal to inspection and palpation at celiotomy. Total body opacification may be helpful in the examination of abdominal masses.- - - - - - - - - - ranking = 0.5keywords = cholecystitis (Clic here for more details about this article) |
10/19. Uncommon complications of human fascioliasis in Alexandria.fascioliasis is becoming more frequently discovered among citizens of Alexandria. The main presenting clinical manifestations including hepatic pain, colics, fever, anorexia, discomfort with meals and hepatomegaly. We select here 4 cases with unusual presentation from patient's record of the last year: one case developed liver abscess due to F. hepatica infection. Two cases were encountered during cholecystectomy in patients suffering from cholecystitis with cholelithiasis; in one of them the gall bladder had ruptured and the patient developed an abscess in the liver related to the gall bladder bed. In both cases F. hepatica worms were found in the bile duct. The fourth case presented with acalcular cholecystitis with empyema of the gall bladder.- - - - - - - - - - ranking = 1keywords = cholecystitis (Clic here for more details about this article) |
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