Large liver abscess and cholecystogastric fistula / Secondary to emphysematous cholecystitis
Rev. esp. investig. quir
; 23(2): 73-75, 2020. ilus
Article
in English
| IBECS
| ID: ibc-193734
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
BACKGROUND:
Emphysematous cholecystitis is a rare variant of acute cholecystitis. The association of emphysematous cholecystitis with a liver abscess is rare, and its association with cholecystogastric fistula is exceptional.Case Presentation. An 81-year-old woman with a long history of 2-type diabetes and systemic arterial hypertension presented to the emergency department with a 12-day course of antibiotic treatment for liver abscess and emphysematous cholecystitis without receiving surgical treatment. CT scan showed a large liver abscess in segment IV b and V, gallbladder with wall thickening. Surgical treatment was performed, finding large hepatic abscess and cholecystogastric fistula secondary to emphysematous cholecystitis. E. coli was obtained in the culture, and the findings were confirmed in the histopathological report.CONCLUSION:
The cholecystogastric fistula with a large hepatic abscess in a patient with emphysematous cholecystitis is exceptionalRESUMEN
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Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Emphysematous Cholecystitis
/
Fistula
/
Liver Abscess
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Rev. esp. investig. quir
Year:
2020
Document type:
Article
Institution/Affiliation country:
Hospital General Regional Cuernavaca/Mexico