Shimane Journal of Medical Science

Shimane University Faculty of Medicine
ISSN :0386-5959(冊子体)
ISSN :2433-2410(オンライン)

クリエイティブ・コモンズ・ライセンス
これらの論文は クリエイティブ・コモンズ 表示 - 非営利 - 改変禁止 4.0 国際 ライセンスの下に提供されています。
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Shimane Journal of Medical Science 22 1
2005-03-01 発行

Liver abscess following ablation therapies for metastatic liver tumor after biliary reconstruction : report of two cases

矢野 誠司
板垣 友子
西 健
片岡佳樹
遠藤 真一郎
小池 誠
橋本 幸直
樋上 哲哉
ファイル
内容記述(抄録等)
Two cases of liver abscess following ablation therapies for metastatic liver tumor after biliary reconstruction are reported. Case 1; A 58-year-old man underwent pylorus preserving pancreatoduodenectomy for cholangiocarcinoma. Microwave coagulation therapy was performed for metastatic liver tumor; however, liver abscess developed after one month and became recurrent. Case 2; A 67-year-old woman underwent pylorus preserving pancreatoduodenectomy for periampullary cancer. Radio frequency ablation was performed for metastatic liver tumor; however, liver abscess developed after one week. In Case 1, we believe that cholangitis at the peripheral level of the intrahepatic biliary tree spread to the treated area and altered blood flow caused recurrence of liver abscess.
In Case 2, cholangitis could have been directly transferred to the ablated area through between the abscess and intrahepatic bile duct. In conclusion, ablation therapies could promote the development of liver abscess in patients who have undergone biliary tract reconstruction after tumor resection and might be contraindicated in such patients.