Abscess of the round ligament of the liver associated with acute obstructive cholangitis and septic thrombosis

Intern Med. 2009;48(21):1885-8. doi: 10.2169/internalmedicine.48.2396. Epub 2009 Nov 2.

Abstract

A man with abscess of the round ligament of the liver associated with acute obstructive suppurative cholangitis and portal thrombosis is reported. A 63-year-old man was admitted with epigastralgia and high fever. Blood tests showed elevation of hepato-biliary enzymes and coagulopathy consistent with acute obstructive suppurative cholangitis and disseminated intravascular coagulation. Computed tomography revealed a small abscess of the round ligament of the liver and left portal thrombosis. After endoscopic biliary stenting, antibiotics and thrombolytic therapy, the high fever, disseminated intravascular coagulation and portal thrombosis rapidly improved, and the round ligament abscess was also later resolved.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / therapeutic use
  • Cholangitis / complications*
  • Cholangitis / diagnosis
  • Cholangitis / drug therapy
  • Humans
  • Ligaments / microbiology*
  • Liver Abscess / diagnosis
  • Liver Abscess / drug therapy
  • Liver Abscess / etiology*
  • Male
  • Middle Aged
  • Portal Vein / microbiology*
  • Thrombolytic Therapy
  • Venous Thrombosis / complications*
  • Venous Thrombosis / diagnosis
  • Venous Thrombosis / drug therapy

Substances

  • Anti-Bacterial Agents