Liver abscesses with pyopericardium: Laparoscopic management in a preterm neonate

We report a 28-day-old neonate presenting with signs of fever, abdominal distension, and refusal to feed. The baby was diagnosed to have multiple liver abscesses which ruptured and a tract lead to the pericardium resulting in a pyo-pericardium. Laparoscopic drainage of the abscess cavities and the pyo-pericardium was performed. An extensive search of the literature revealed that this case is the youngest one to have undergone such simultaneous laparoscopic drainage.

[1]  S. Srinivasan,et al.  Pyogenic liver abscess in children--South Indian experiences. , 1998, Journal of pediatric surgery.

[2]  W. Meyers,et al.  Hepatic abscess. Changes in etiology, diagnosis, and management. , 1990, Annals of surgery.

[3]  A. Robbins,et al.  Intrahepatic pyogenic abscesses: treatment by percutaneous drainage. , 1985, American journal of surgery.

[4]  J. Wittenberg,et al.  Percutaneous drainage of pyogenic liver abscesses. , 1985, AJR. American journal of roentgenology.

[5]  T. Pysher,et al.  Hepatic abscess in neonates. , 1981, American journal of diseases of children.

[6]  Tashio Kutsunai. ABSCESS OF THE LIVER OF UMBILICAL ORIGIN IN INFANTS: REPORT OF TWO CASES , 1936 .

[7]  Henry H. Smith Hepatic Abscess , 1893, The Indian medical gazette.