Pyogenic Liver Abscess after Bile Duct Exploration Drained w
Case Report
A 49-year-old woman with a 2-year history of recurrent episodes of upper abdominal pain often combined with hyperbilirubinemia and high fever, was admitted to hospital. This time, she was diagnosed with it and recommended surgery. Imaging examinations revealed dilated left hepatic lobe ducts with multiple filling defects consistent with stones combined with right hepatic duct stricture and mild dilatation. The patient was performed laparoscopic left hepatic resection and hepaticolithotomy with T-tube drainage. After the post-operative day 4, the volume of drainage decreased around 15 ml and the fluid was turbid. The patient occurred high fever, right quadrant abdominal dull-like pain. Her laboratory data demonstrated leukocytosis, hyperbilirubinemia, the peak volume of total bilirubin of 113 ?mol/L, the peak volume of conjugated bilirubin of 73.1 ?mol/L, persistent C-reactin protein of more than 160 mg/L.....

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