Partial hepatectomy for pancreatic-origin hepatic abscess with intracystic hemorrhage following severe acute pancreatitis: a case report

TL;DR

This case report describes a rare instance of liver abscess caused by severe pancreatitis, successfully treated with partial liver removal.

Contribution

The paper presents a novel case of hepatic abscess from pancreatitis managed via partial hepatectomy, offering insights into its treatment.

Findings

Hepatic abscess secondary to pancreatitis is rare and can involve intracystic hemorrhage.

Partial hepatectomy was effective in managing this complex case.

Direct hepatic invasion by bacteria and amylase can lead to severe complications.

Abstract

Local complications of severe acute pancreatitis commonly include pancreatic necrosis, pancreatic pseudocysts, and peripancreatic abscesses. However, hepatic abscess secondary to pancreatitis is extremely rare. The routes of infection may occur through dissemination via the portal venous system or lymphatic system, or through direct infiltration from peripancreatic inflammatory spread. The latter, due to direct hepatic invasion by bacteria and amylase, is prone to complicated intracystic hemorrhage. This article aims to explore the management of a rare case of pancreatic-origin hepatic abscess with intracystic hemorrhage treated primarily through partial hepatectomy, summarizing therapeutic experience for such patients.

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