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명희준 ( Hee Jun Myung ),류수형 ( Soo Hyung Ryu ),유중호 ( Chung Hao Liu ),유정훈 ( Jung Hoon Yoo ),김서현 ( Seo Hyun Kim ),김승혁 ( Seung Hyuk Kim ),윤원의 ( Won Eui Yoon ),박태영 ( Tae Young Park ),문정섭 ( Jeong Seop Moon ) 대한소화기학회 2021 대한소화기학회지 Vol.77 No.4
The rupture of a pyogenic liver abscess (PLA) with peritonitis is a rare occurrence but a surgical emergency with a high mortality rate in the case of gas-forming PLA. Rare cases of ruptured PLA that recovered completely with only medical treatment have been reported. This paper reports a case of a large PLA rupture with peritonitis. In this case, surgical intervention was too risky because of the patient’s age and poor general condition. The patient recovered fully with appropriate antibiotic therapy and sufficient percutaneous drainage. Therefore, medical treatment may be considered an alternative option in cases of a ruptured large PLA with peritonitis if surgical intervention is too risky. (Korean J Gastroenterol 2021;77:190-193)