Unique challenges in management alcoholic hepatitis with large left sided ischiorectoal abscess- A case report

Abstract

Alcoholic hepatitis is a condition with high mortality and morbidity. It is routine to have infectious complications with alcoholic hepatitis. However, ischiorectal abscess with its unique management challenges has not been described in the literature. We describe here a case of ischiorectal abscess with alcoholic hepatitis, and how the post-operative course is much more complicated due to underlying alcoholic hepatitis.

References

1. Hosseini N, Shor J, Szabo G. Alcoholic Hepatitis: A Review. Alcohol Alcohol. 2019;54:408-416.
2. Karakike E, Moreno C, Gustot T. Infections in severe alcoholic hepatitis. Ann Gastroenterol. 2017;30:152-160.
3. Wang TK, Woo PC, Yuen KY. Perianal abscess caused by Propionibacterium avidum in a cirrhotic patient. New Microbiol. 2002;25:239-242.
4. Jinjuvadia R, Liangpunsakul S; Translational Research and Evolving Alcoholic Hepatitis Treatment Consortium. Trends in Alcoholic Hepatitis-related Hospitalizations, Financial Burden, and Mortality in the United States. J Clin Gastroenterol. 2015;49:506-511.
5. Singal AK, Kamath PS, Gores GJ, et al. Alcoholic hepatitis: current challenges and future directions. Clin Gastroenterol Hepatol. 2014;12:555-e32.
6. Jaruvongvanich V, Sanguankeo A, Upala S. Effect of SIRS and sepsis on mortality in alcoholic hepatitis: A systematic review and meta-analysis. Turk J Gastroenterol. 2016;27:458-463.
7. López-Sanromán A. Steroids and Postoperative Complications in IBD. Curr Drug Targets. 2019;20:1323-1326.
Published
2022-12-27
How to Cite
VASAVADA, Bhavin; PATEL, Hardik. Unique challenges in management alcoholic hepatitis with large left sided ischiorectoal abscess- A case report. J Soc Surg Nep, [S.l.], v. 25, n. 2, p. 69-70, dec. 2022. ISSN 2392-4772. Available at: <https://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=492>. Date accessed: 13 june 2024.