Clinical and Molecular Hepatology

"Gastric fistula"

Case Reports

Infectious liver disease

Hepatogastric fistula as a rare complication of pyogenic liver abscess: Kyu Won Lee, Hee Yeon Kim, Chang Wook Kim, Young Ki Kim, Ohbeom Kwon, Min Ah Kim, Youngyun Cho, Keungmo Yang; Clin Mol Hepatol 2017;23(1):87-90.
Published online March 9, 2017; DOI: https://doi.org/10.3350/cmh.2016.0029

Abstract
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Hepatogastric fistula following a pyogenic liver abscess is extremely rare, and only a handful of cases have been reported. An 88-year-old female presented with generalized weakness, fever and chills. An abdominal computed tomography scan revealed a 5cm-sized hypodense lesion with internal septa in the left lateral section of the liver. Due to initial suspicion of early liver abscess, she was treated with empirical intravenous antibiotics. Initially, aspiration or drainage of the liver abscess was not performed due to immature lesion characteristics. An ultrasonography-guided percutaneous drainage of the liver abscess was performed 17 days after hospitalization due to a more mature lesion appearance on follow-up imaging. On tubography, contrast media leakage through the fistulous tract was visualized. Surgical management was performed, and she was discharged 2 weeks after surgery.

Citations

Citations to this article as recorded by

Hepatogastric Fistula as a Rare Complication of Pyogenic Liver Abscess: A Case Report
Mohammad Kazem Amirbeigy, Amir Pasha Amel Shahbaz, Zahra Sekandari, Shahab Sheikhalishahi
Clinical Case Reports.2025;[Epub] CrossRef
Hepatogastric fistula: A rare complication of liver abscess
Sayan Malakar, Akash Mathur, Anshuman Elhence, Uday C. Ghoshal
Indian Journal of Gastroenterology.2024; 43(4): 854. CrossRef
Double Trouble: Synchronous Hepatoduodenal and Hepatocolic Fistulisation in a Case of Untreated Liver Abscess
Saket Dadhich, Vijay Vatvani, Hitakshi Chahal, Richa Jain, Hanuman R Khoja
Cureus.2024;[Epub] CrossRef
Hepatogastric fistula: a complication of pyogenic liver abscess in a patient with the Brugarda syndrome – A rare case report
Santosh Dev, Radheshyam Yadav, Birendra Sah, Ashok Kumar Sah, Bikal Ghimire, Jayant Kumar Shah
Annals of Medicine & Surgery.2023; 85(6): 3098. CrossRef
A Population-Based Study of Unfavorable Prognostic Factors Associated With Pyogenic Liver Abscess
Anna Bläckberg, Astrid Jönsson, Emma Svensson, Torgny Sunnerhagen, Ali Kiasat, Oskar Ljungquist
Open Forum Infectious Diseases.2023;[Epub] CrossRef
Fix the Flat: Applying the Principles of Tire Aerosol Repair to Prevent Exsanguination From a Hemorrhagic Intrahepatic Mass
Chase Tenewitz, Taylor S Harmon, Mika Matteo, Sanjay Lamsal, Jerry Matteo
Cureus.2021;[Epub] CrossRef
Malignant hepatogastric fistula with associated secondary liver abscess: a rare complication of an occult gastric adenocarcinoma
Alexander Mimery, Nicolas Ramly, Amitabha Das, Kheman Rajkomar
BMJ Case Reports.2021; 14(8): e240238. CrossRef
A RARE CASE OF COMPLICATED LIVER ABSCESS WITH MIDDLE HEPATIC VEIN THROMBOSIS: A CASE REPORT AND REVIEW OF LITERATURE
V.P.S. Punia, Praveen Raman Mishra, Shaavi Mittal, Akash Bharti, Prem Kumar, Mahek Lamba
GLOBAL JOURNAL FOR RESEARCH ANALYSIS.2021; : 1. CrossRef
Gastric cancer and adenomatous colorectal polyp concomitant with pyogenic liver abscess and bacteremia
Min Kyu Kang, Hee Jung Kwon, Min Cheol Kim
Yeungnam University Journal of Medicine.2020; 37(3): 246. CrossRef
Hepato-Duodenal Fistula Complicating a Pyogenic Liver Abscess: An Unusual Presentation
Amtoj Singh Lamba, Bhavneet Singh, Monica Gupta, Swati Dahiya, Ruchika Saini
Cureus.2020;[Epub] CrossRef

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Hepatogastric fistula caused by direct invasion of hepatocellular carcinoma after transarterial chemoembolization and radiotherapy: Hana Park, Seung Up Kim, Junjeong Choi, Jun Yong Park, Sang Hoon Ahn, Kwang-Hyub Han, Chae Yoon Chon, Young Nyun Park, Do Young Kim; Korean J Hepatol 2010;16(4):401-404.
Published online December 31, 2010; DOI: https://doi.org/10.3350/kjhep.2010.16.4.401

Abstract
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A 63-year-old man with a history of hepatitis-B-related hepatocellular carcinoma (HCC) in the left lateral portion of the liver received repeated transcatheter arterial chemoembolization (TACE) and salvage radiotherapy. Two months after completing radiotherapy, he presented with dysphagia, epigastric pain, and a protruding abdominal mass. Computed tomography showed that the bulging mass was directly invading the adjacent stomach. Endoscopy revealed a fistula from the HCC invading the stomach. Although the size of the mass had decreased with the drainage through the fistula, and his symptoms had gradually improved, he died of cancer-related bleeding and hepatic failure. This represents a case in which an HCC invaded the stomach and caused a hepatogastric fistula after repeated TACE and salvage radiotherapy.

Citations

Citations to this article as recorded by

Unusual upper gastrointestinal bleeding following radiofrequency ablation and transarterial chemoembolization for hepatocellular carcinoma
CW Chang, HW Wang, WH Huang, PH Chuang
Journal of Postgraduate Medicine.2023; 69(4): 237. CrossRef
Hepatic artery pseudo-aneurysm rupturing into hepato-gastric fistula, a rare cause of massive upper gastrointestinal hemorrhage: Case report
Arkadeep Dhali, Avik Sarkar, Sukanta Ray, Dijendra Nath Biswas, Gopal Krishna Dhali, Ankit Mahajan
Radiology Case Reports.2022; 17(1): 133. CrossRef
Hepatocellular Carcinoma with Gastrointestinal Involvement: A Systematic Review
Cristiana Marinela Urhut, Larisa Daniela Sandulescu, Liliana Streba, Vlad Florin Iovanescu, Sarmis Marian Sandulescu, Suzana Danoiu
Diagnostics.2022; 12(5): 1270. CrossRef
Malignant hepatogastric fistula with associated secondary liver abscess: a rare complication of an occult gastric adenocarcinoma
Alexander Mimery, Nicolas Ramly, Amitabha Das, Kheman Rajkomar
BMJ Case Reports.2021; 14(8): e240238. CrossRef
Upper Gastrointestinal Bleed Due to Invasive Hepatocellular Carcinoma and Hepato-Gastric Fistula
Abhijith Bale, Shiran Shetty, Anurag Shetty, Girisha Balaraju, Cannanore Ganesh Pai
Journal of Clinical and Experimental Hepatology.2018; 8(1): 104. CrossRef
Gastric Metastasis of Hepatocellular Carcinoma With Gastrointestinal Bleeding After Liver Transplant: A Case Report
L. Li, W.H. Zhang, F.P. Meng, X.M. Ma, L.J. Shen, B. Jin, H.W. Li, J. Han, G.D. Zhou, S.H. Liu
Transplantation Proceedings.2015; 47(8): 2544. CrossRef
Hepatoduodenal fistula formation following transcatheter arterial chemoembolization and radiotherapy for hepatocellular carcinoma: treatment with endoscopic Histoacryl injection
Jaryong Jeon, Joonseong Ahn, Hongseok Yoo, Taek Kyu Park, Dongmo Je, Hyemin Jeong, Kwang Hyuck Lee
The Korean Journal of Internal Medicine.2014; 29(1): 101. CrossRef
Hepatogastric fistula: a rare complication of pyogenic liver abscess
Venkata Srinivas Gandham, Biju Pottakkat, Lakshmi C Panicker, Ranjit Vijaya Hari
BMJ Case Reports.2014; 2014: bcr2014204175. CrossRef