Skip to main content
Log in

The development of a pyogenic liver abscess following radical resection of cholangiocellular carcinoma with ligation of the right hepatic artery: Report of a case

  • Case Reports
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

We present herein the case of a pyogenic liver abscess developing from hepatic ischemia caused by resection of the right hepatic artery when a left hemihepatectomy with caudate lobectomy and extrahepatic bile duct resection was performed for cholangiocellular carcinoma. Postoperative cholangiography revealed communication between the abscess cavity and the intrahepatic bile duct. The liver abscess was successfully treated by percutaneous transhepatic drainage. Thus, breakdown of the intrahepatic bile duct due to ischemia may play an important role in the development of a pyogenic liver abscess following hepatic arterial occlusion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kim DK, Kinne DW, Fortner JG (1973) Occlusion of the hepatic artery in man. Surg Gynecol Obstet 136:966–968

    PubMed  Google Scholar 

  2. Mays ET, Wheeler CS (1974) Demonstration of collateral arterial flow after interruption of hepatic arteries in man. N Engl J Med 290:993–996

    PubMed  Google Scholar 

  3. Aaron S, Fulton RL, Mays ET (1975) Selective ligation of the hepatic artery for trauma of the liver. Surg Gynecol Obstet 141:187–189

    PubMed  Google Scholar 

  4. Smith GW (1983) Anatomy and physiology of the liver. In: Shackelford RT, Zuidema GD (eds) Surgery of the alimentary tract, vol. 4. Saunders, Philadelphia, pp 335–348

    Google Scholar 

  5. Tygstrup N, Winkler K, Mellemgaard K, Andreassen M (1962) Determination of the hepatic arterial blood flow and oxygen supply in man by clamping the hepatic artery during surgery. J Clin Invest 41:447–454

    PubMed  Google Scholar 

  6. Michels NA (1960) Newer anatomy of liver-variant blood supply and collateral circulation JAMA 172:125–132

    Google Scholar 

  7. Schatten WE (1954) The role of intestinal bacteria in liver necrosis following experimental excision of the hepatic arterial supply. Surgery 36:256–269

    PubMed  Google Scholar 

  8. From P, Alli JH (1956) Bacteriologic study of human liver in 101 cases. Gastroenterology 31:33–38

    PubMed  Google Scholar 

  9. Jochimsen PR, Zike WL, Shirazi SS, Pearlman NW (1978) Iatrogenic liver abscess. A complication of hepatic artery ligation for tumor. Arch Surg 113:141–144

    PubMed  Google Scholar 

  10. Sugiura Y (1988) Pyogenic liver abscess (in Japanese) Rinsho Shokakinaika 3:1303–1311

    Google Scholar 

  11. Matsui N, Morita N, Okada H, Hiraoka H, Nojima S, Enoki T, Hirayama Y, Esato K (1990) Advanced carcinoma of the pancreas complicated with pyogenic liver abscess after pancreatectomy — Report of the case (in Japanese). Tan to Sui (J of Biliary Tract and Pancreas) 11:311–316

    Google Scholar 

  12. Cho KJ, Lunderquist A (1983) The peribiliary vascular plexus: The microvascular architecture of the bile duct in the rabbit and in clinical cases. Radiology 147:357–364

    PubMed  Google Scholar 

  13. Makuuchi M, Sukigara M, Mori T, Kobayashi J, Yamazaki S, Hasegawa H, Moriyama N, Takayasu K, Hirohashi S (1985) Bile duct necrosis: Complication of transcatheter hepatic arterial embolization. Radiology 156:331–334

    PubMed  Google Scholar 

  14. Sherlock S (1987) The syndrome of disappearing intrahepatic bile ducts. Lancet ii:493–496

    Google Scholar 

  15. Sakurai M, Wakasa K, Kuroda T, Marukawa T, Monden M, Okamura J (1989) Effects of transcatheter arterial embolization on rupture of the intrahepatic bile duct (in Japanese). Tan to Sui (J of Biliary Tract and Pancreas) 10:993–999

    Google Scholar 

  16. Tanino M, Shisa M, Nishimura T, Suzuki F, Nakashima T, Naoi Y, Kajimoto T (1989) Infarction of the intrahepatic bile duct and connective tissue of the portal area occurring after transcatheter artery embolization (in Japanese). Kan Tan Sui 18:799–804

    Google Scholar 

  17. Pien EH, Zeman R, Benjamin SB, Barth KH, Jaffe MH, Choyke PL, Clark LR, Paushter DM (1985) Iatrogenic sclerosing cholangitis following hepatic arterial chemotherapy infusion. Radiology 156:329–330

    PubMed  Google Scholar 

  18. Starzl ET, Demetris AJ (1990) Liver transplantation. Year Book Medical, Chicago, pp 43–56

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tanaka, K., Nishimura, A., Hombo, K. et al. The development of a pyogenic liver abscess following radical resection of cholangiocellular carcinoma with ligation of the right hepatic artery: Report of a case. Surg Today 24, 659–662 (1994). https://doi.org/10.1007/BF01833737

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01833737

Key Words

Navigation