DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20203353

Ruptured pyogenic liver abscess in pregnancy: a case report

Smruti Shambharkar, Shuchita Mundle

Abstract


Pyogenic liver abscess during pregnancy is an extremely dangerous condition, both from general as well as obstetric point of view. An interesting case of 24-year primigravida reported at 28 weeks gestation with high grade fever and chills with features of peritonitis is being presented here, which on investigations subsequently was diagnosed to be a case of ruptured pyogenic liver abscess. The case was managed successfully with higher antibiotics and percutaneous drainage of the abscess. The obstetric outcome was successful as well, with spontaneous preterm delivery of 920 gm male child which cried immediately after birth and was managed with appropriate care in premature baby unit.


Keywords


Case report, Pregnancy, Pyogenic liver abscess, Ruptured liver abscess

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References


Lindgren P, Pla JC, Hogberg U, Tarnvik A. Listeria monocytogenes-induced liver abscess in pregnancy. Acta Obstet Gynecol Scandinavica. 1997;76(5):486-8.

Pérez JA, González JJ, Baldonedo RF, Sanz L, Carreño G, Junco A, et al. Clinical course, treatment, and multivariate analysis of risk factors for pyogenic liver abscess. The Am J Surg. 2001;181(2):177-86.

Tsai FC, Huang YT, Chang LY, Wang JT. Pyogenic liver abscess as endemic disease, Taiwan. Emerg Infect Dis. 2008;14(10):1592.

Meddings L, Myers RP, Hubbard J, Shaheen AA, Laupland KB, Dixon E, et al. A population-based study of pyogenic liver abscesses in the United States: incidence, mortality, and temporal trends. Am J Gastroenterol. 2010;105(1):117-24.

Jepsen P, Vilstrup H, Schønheyder HC, Sørensen HT. A nationwide study of the incidence and 30‐day mortality rate of pyogenic liver abscess in Denmark, 1977-2002. Aliment Pharmacol Therap. 2005;21(10):1185-8.

Kaplan GG, Gregson DB, Laupland KB. Population-based study of the epidemiology of and the risk factors for pyogenic liver abscess. Clin Gastroenterol Hepatol. 2004;2(11):1032-8.

Johannsen EC, Sifri CD, Madoff LC. Pyogenic liver abscesses. Infect Dis Clin North Am. 2000;14(3):547-63.

Butler TJ, McCarthy CF. Pyogenic liver abscess. Gut. 1969;10(5):389.

Lin AC, Yeh DY, Hsu YH, Wu CC, Chang H, Jang TN, Huang CH. Diagnosis of pyogenic liver abscess by abdominal ultrasonography in the emergency department. Emerg Med J. 2009;26(4):273-5.

Kopernik G, Mazor M, Leiberman JR, Barki Y, Hirsch M. Pyogenic liver abscess in pregnancy. Israel J Med Sci. 1988;24(4-5):245-6.