A case of emphysematous hepatitis with spontaneous pneumoperitoneum in a patient with hilar cholangiocarcinoma / 대한간학회지
The Korean Journal of Hepatology
;
: 94-97, 2012.
Article
in English
| WPRIM
| ID: wpr-102514
ABSTRACT
An 80-year-old woman with hilar cholangiocarcinoma was hospitalized due to sudden-onset abdominal pain. Computed tomography revealed hepatic necrosis accompanied with emphysematous change in the superior segment of the right liver (S7/S8), implying spontaneous rupture, based on the presence of perihepatic free air. Although urgent percutaneous drainage was performed, neither pus nor fluids were drained. These findings suggest emphysematous hepatitis with a hepatic mass. Despite the application of intensive care, the patient's condition deteriorated rapidly, and she died 3 days after admission to hospital. Liver gas has been reported in some clinical diseases (e.g., liver abscess) to be caused by gas-forming organisms; however, emphysematous hepatitis simulating emphysematous pyelonephritis is very rare. The case reported here was of fatal emphysematous hepatitis in a patient with hilar cholangiocarcinoma.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumoperitoneum
/
Bile Duct Neoplasms
/
Bile Ducts, Intrahepatic
/
Tomography, X-Ray Computed
/
Cefotaxime
/
Clostridium Infections
/
Clostridium perfringens
/
Cholangiocarcinoma
/
Emphysema
/
Escherichia coli
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
English
Journal:
The Korean Journal of Hepatology
Year:
2012
Type:
Article
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