小児虫垂炎術後に発症した肝膿瘍の1例

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  • A CHILD CASE OF PYOGENIC LIVER ABSCESS AFTER AN OPERATION FOR APPENDICITIS

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A 7-year-old boy was admitted to the hospital because of high fever and right lower abdominal pain. An abscess in the right lower quadrant was detected by ultrasonography (US) and computed tomography (CT). Appendectomy and drainage of the abscess were performed. Postoperative course was uneventful except a mild fever. However, he developed a high fever and pain in the right upper quadrant on 15th postoperative day. CT showed an abscess about 4 cm in diameter in the right lobe of the liver. Although an antibiotic therapy was started immediately. CT on the 27th postoperative day showed that the abscess was enlarged measuring 6 cm in diameter. Therefore US-guided percutaneous abscess drainage was performed under general anesthesia. About 100 ml pus was drained and B. fragilis was isolated. His clinical symptoms improved steadily and he was discharged from the hospital on the 58th postoperative day.<br> Percutaneous abscess drainage for pyogenic liver abscess should be performed at an appropriate stage even in a child case.

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