ArticleMedicina (Kaunas, Lithuania)2022
Pyogenic Liver Abscess Complicating Acute Cholecystitis: Different Management Options.
Article in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Staged percutaneous management of multiple postoperative pyogenic liver abscesses following cholecystectomy in a patient with type 2 diabetes: a case report.International journal of surgery case reports · 2026Article
- Cystic Artery Hemorrhage as a Rare Complication of Acute Gangrenous Cholecystitis.International medical case reports journal · 2026Article
- Risk factors analysis for poor prognosis after percutaneous drainage in liver abscess patients with fatty liver.World journal of gastrointestinal surgery · 2025Article
- Article
- Formation and rupture of liver hematomas caused by intrahepatic gallbladder perforation: A case report and review of literature.World journal of gastrointestinal surgery · 2024Article
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Authors and funding
7 authors at 1 institution in 1 country.
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Abstract
Acute cholecystitis, which is usually associated with gallstones is one of the most common surgical causes of emergency hospital admission and may be further complicated by mural necrosis, perforation and abscess formation. Perforation of the gallbladder is a relatively uncommon complication of acute cholecystitis (0.8-3.2% in recent reviews). The intrahepatic perforation causing a liver abscess is an extremely rare condition, anecdotally reported in the scientific literature, even in the rare types of subacute or acute perforation. Liver abscess caused by gallbladder perforation can be a life-threatening complication with a reported mortality of 5.6%. The treatment of synchronous pyogenic liver abscess and acute cholecystitis may be challenging. We reported three cases of liver abscess due to acute cholecystitis in which different therapeutical approaches were employed. The first case was treated with antibiotics and interval laparoscopic cholecystectomy; the second case was treated with emergency cholecystectomy; and the third case with percutaneous aspiration of the abscess only. The appropriate therapeutical method in these cases depends on the patient's clinical condition, the on-site expertise that is available in the hospital, and the experience of the surgeon.
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