Hepatic abscesses after adhesiolysis
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Hepatic abscesses after adhesiolysis. / Antonsen, J.; Balachandran, R.; Helgstrand, F.
I: International Journal of Surgery Case Reports, Bind 16, 2015, s. 37-38.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Hepatic abscesses after adhesiolysis
AU - Antonsen, J.
AU - Balachandran, R.
AU - Helgstrand, F.
N1 - Publisher Copyright: © 2015 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd.
PY - 2015
Y1 - 2015
N2 - Introduction Hematogenous spread of bacteria from the bowel due to bacterial translocation has been postulated in animal and trauma studies. This case presents a patient with possible hematogenous bacterial spreading after acute laparotomy. Case presentation A 57-year old woman was admitted with abdominal pain. A computed tomography showed mechanical small bowel obstruction. A laparotomy was performed showing no contamination, and no bowel resection was performed. The patient was not given any antibiotics during this time. The patient was re-admitted 24 h after discharge with fever, elevated white count and abdominal pain. A computed tomography showed newly developed intrahepatic abscesses. These were treated with antibiotics, and the patient was discharged with follow-up ultrasound showing diminished abscesses. Discussion This case discusses the possible pathophysiology behind the development of intrahepatic abscesses after small bowel obstruction. Conclusion Febrilia and pain in upper right quadrant of the abdomen days after a simple operation for bowel obstruction could be caused by translocation of intestinal bacteria and subsequent formation of hepatic abscesses.
AB - Introduction Hematogenous spread of bacteria from the bowel due to bacterial translocation has been postulated in animal and trauma studies. This case presents a patient with possible hematogenous bacterial spreading after acute laparotomy. Case presentation A 57-year old woman was admitted with abdominal pain. A computed tomography showed mechanical small bowel obstruction. A laparotomy was performed showing no contamination, and no bowel resection was performed. The patient was not given any antibiotics during this time. The patient was re-admitted 24 h after discharge with fever, elevated white count and abdominal pain. A computed tomography showed newly developed intrahepatic abscesses. These were treated with antibiotics, and the patient was discharged with follow-up ultrasound showing diminished abscesses. Discussion This case discusses the possible pathophysiology behind the development of intrahepatic abscesses after small bowel obstruction. Conclusion Febrilia and pain in upper right quadrant of the abdomen days after a simple operation for bowel obstruction could be caused by translocation of intestinal bacteria and subsequent formation of hepatic abscesses.
KW - Absces
KW - Case story
KW - Liver
KW - Prophylactic antibiotics
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=84942328310&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2015.09.002
DO - 10.1016/j.ijscr.2015.09.002
M3 - Journal article
AN - SCOPUS:84942328310
VL - 16
SP - 37
EP - 38
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
SN - 2210-2612
ER -
ID: 386363330