THE DEVELOPMENT OF A PYOGENIC LIVER-ABSCESS FOLLOWING RADICAL RESECTION OF CHOLANGIOCELLULAR CARCINOMA WITH LIGATION OF THE RIGHT HEPATIC-ARTERY - REPORT OF A CASE

We present herein the case of a pyogenic liver abscess developing from hepatic ischemia caused by resection of the right hepatic artery when a left hemihepatectomy with caudate lobectomy and extrahepatic bile d uct resection was performed for cholangiocellular carcinoma. Postopera tive cholangiography revealed communication between the abscess cavity and the intrahepatic bile duct. The liver abscess was successfully tr eated by percutaneous transhepatic drainage. Thus, breakdown of the in trahepatic bile duct due to ischemia may play an important role in the development of a pyogenic liver abscess following hepatic arterial oc clusion.