International Journal of Gerontology
Volume 2, Issue 3 , Pages 136-139, September 2008

Successful Conservative Treatment of a Hepatic Abscess Originating from a Ruptured Renal Abscess in an Elderly Female

  • Chin-Yao Chou

      Affiliations

    • Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Jin-Jung Lee

      Affiliations

    • Department of Ophthalmology, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Yen-Chun Lai

      Affiliations

    • Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Wen-Han Chang

      Affiliations

    • Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Yu-Jang Su

      Affiliations

    • Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Yu-Jang Su, Department of Emergency Medicine, Mackay Memorial Hospital, Taipei 10449, Taiwan

Accepted 30 April 2008.

Article Outline

Summary 

A liver abscess originating from a ruptured renal abscess is a very rare clinical condition. In the past, the commonly recommended strategy for extrarenal abscess extension involved surgical management. For this case, mindful of the advanced age of patient, we had success in treating with parenteral antibiotics and computed tomography (CT)-guided drainage. An 86-year-old female presented to our emergency department with right flank pain for 1 month and high fever. A series of examinations were done, and xanthogranulomatous pyelonephritis with multiple abscess formation involving the liver and ruptured renal abscess was diagnosed. We successfully treated with CT-guided drainage, followed by parenteral antibiotic administration. She gradually recovered and was discharged 12 days after admission. To our knowledge, this is the first case of a liver abscess originating from a ruptured renal abscess and successful conservative treatment.

Key Words:  antibiotics , kidney stones , liver abscess , rupture , xanthogranulomatous pyelonephritis

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PII: S1873-9598(08)70053-X

doi:10.1016/S1873-9598(08)70053-X

International Journal of Gerontology
Volume 2, Issue 3 , Pages 136-139, September 2008

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