First successful treatment of Clostridium perfringens-associated emphysematous hepatitis: a case report

Emphysematous diseases of the abdomen are rare with an often inconspicuous presentation of symptoms and rapid lethal outcome if untreated. We report the first successfully treated case of Clostridium perfringens-associated emphysematous hepatitis. In the emergency room, a 79-year-old man presented with shortness of breath and deteriorated general condition since the morning of admission. Initial CT scans showed a small but rapidly expanding gas collection in liver segment 6. Emergency surgery with atypical liver resection was performed immediately. With early resection and prolonged administration of antibiotics in the presence of sepsis, the patient recovered successfully and was discharged 37 days after admission. As in our case, prompt diagnosis with early surgical treatment is crucial for the management of emphysematous hepatitis.

Metadaten
Author:	Christian Bayerl, Ann-Kathrin Berg, Stefan Angermair, Damon Kim, Bernd Hamm, Katharina Beyer GND, Christian Schineis
URN:	urn:nbn:de:bvb:384-opus4-1237320
Frontdoor URL	https://opus.bibliothek.uni-augsburg.de/opus4/123732
ISSN:	2296-858XOPAC
Parent Title (English):	Frontiers in Medicine
Publisher:	Frontiers Media SA
Type:	Article
Language:	English
Year of first Publication:	2023
Publishing Institution:	Universität Augsburg
Release Date:	2025/07/23
Volume:	10
First Page:	1164466
DOI:	https://doi.org/10.3389/fmed.2023.1164466
Institutes:	Medizinische Fakultät
	Medizinische Fakultät / Universitätsklinikum
	Medizinische Fakultät / Lehrstuhl für Allgemein- und Viszeralchirurgie
Dewey Decimal Classification:	6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):	CC-BY 4.0: Creative Commons: Namensnennung (mit Print on Demand)

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