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A case of endophthalmitis following panperitonitis due to liver abscess rupture treated by laparoscopy Yoshiaki MIHARA 1 , Koji MATSUSHITA 1 , Fumiki OKAMOTO 1 , Chifumi FUKUDA 1 , Norio UCHIMURA 1 1Department of Surgery, IMS Miyoshi General Hospital Keyword: 肝膿瘍破裂 , 腹腔鏡下洗浄ドレナージ術 , 内因性眼内炎 pp.447-454
Published Date 2016/7/15
DOI https://doi.org/10.11477/mf.4426200283
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 A 68-year-old male with diabetes mellitus was admitted to our hospital because of high fever. An abdominal computer tomography showed a gas-containing abscess within the left lobe of the liver, ascites, and free air in the abdominal cavity. The patient was diagnosed with panperitonitis due to the rupture of the liver abscess, and an emergency laparoscopic drainage was performed. The blood culture yielded Klebsiella pneumoniae. Although he had a severe infection, his condition dramatically improved after the operation. He had a right metastatic Klebsiella pneumoniae endophthalmitis on the postoperative day 10. He was transferred to another hospital for ophthalmic surgery. His endophthalmitis had improved, and the light perception remained in the right eye. He was readmitted to our hospital. After the ophthalmic surgery, he made steady progress and was discharged from our hospital 30 days after the first admission. Our report may suggest that laparoscopic drainage is effective against panperitonitis due to the rupture of the liver abscess. It is, however, notable that carbon dioxide pneumoperitoneum may increase a risk of bacterial translocation from the peritoneal cavity into bloodstream, resulting in endophthalmitis.


Copyright © 2016, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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