Background and Aim: Few studies reported liver abscesses complicated with portal vein thrombosis (PVT). Here, the rare case of a patient with a liver abscess caused by
-hemolytic Streptococci complicated with PVT was reported.
Methods: The case and the literature review of liver
abscesses with PVT caused by Streptococcus spp were presented.
Case Presentation: A 51-year-old male patient presented with
fever and right hypochondriacal pain. He had a 1-month history of watery
diarrhoea and bloody stools and was diagnosed with a 15-cm solitary abscess in
the right hepatic lobe, which was complicated with PVT;
-hemolytic Streptococci were the predicted causative
organism. Percutaneous abscess drainage in combination with antibiotic and
anticoagulant therapy led to the successful resolution of the liver abscess and
PVT.
Results: To date, liver abscesses complicated with PVT
caused by Streptococci have been reported in six cases, including the current
patient. The clinical symptoms include fever, abdominal pain, and fatigue. Our
review reveals that liver abscesses complicated with PVT have a variable
prognosis, ranging from improvement with treatment, such as drainage in
combination with antibiotic therapy, to death due to multiple organ failure.
Author (s) Details
Toru Shizuma
Department of Physiology, Tokai University School of Medicine, 143,
Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Please see the book here:- https://doi.org/10.9734/bpi/aodhr/v1/5527
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