Pyogenic liver abscess after choledochoduodenostomy for biliary obstruction caused by autoimmune pancreatitis

Nobuyuki Toshikuni, Kyohei Kai, Shizo Sato, Motoko Kitano, Masayoshi Fujisawa, Hiroaki Okushin, Kazuhiko Morii, Shinjiro Takagi, Masahiro Takatani, Hirofumi Morishita, Koichi Uesaka, Shiro Yuasa

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

A 68-year-old man underwent cholecystectomy and choledochoduodenostomy for biliary obstruction and nephrectomy for a renal tumor. Based on clinical and histopathologic findings, autoimmune pancreatitis (AIP) was diagnosed. The renal tumor was diagnosed as a renal cell cancer. Steroid therapy was started and thereafter pancreatic inflammation improved. Five years after surgery, the patient was readmitted because of pyrexia in a preshock state. A Klebsiella pneumoniae liver abscess complicated by sepsis was diagnosed. The patient recovered with percutaneous abscess drainage and administration of intravenous antibiotics. Liver abscess recurred 1 mo later but was successfully treated with antibiotics. There has been little information on long-term outcomes of patients with AIP treated with surgery. To our knowledge, this is the second case of liver abscess after surgical treatment of AIP.

Original languageEnglish
Pages (from-to)6397-6400
Number of pages4
JournalWorld journal of gastroenterology
Volume12
Issue number39
DOIs
Publication statusPublished - Oct 21 2006

Keywords

  • Autoimmune pancreatitis
  • Biliary reconstruction
  • Liver abscess

ASJC Scopus subject areas

  • Gastroenterology

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