Liver abscess occuring after laparoscopic cholecystectomy in a case of biliary ascariasis: Case report

Abstract

The pyogenic liver abscess usually develops secondary to the cholangitis. It may also be seen following invasive cholangiopancreatographic procedures or surgery of the liver and biliary tract. We here report a liver abscess developed eight days after laparoscopic cholecystectomy following endoscopic retrograde cholangiopancreatography and sphincterotomy in a diabetic patient with cholecystocholedocholithiasis and biliary ascariasis. The patient was admitted to the hospital with fever, chills and leukocytosis. Ultrasonography and computerized tomography revealed a right lobe liver abscess extending to the right subdiaphragmatic space and right pleural effusion. The abscess and pleural effusion were treated by percutaneaous drainage, thoracentesis and antibiotics. The laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatographic procedures, especially in complicated situations like in this case with stones and ascaris in common bile duct, may be delayed. © 2010 OMÜ Tüm Haklari Saklidir.