PMC6037661_01
Abdominal CT scan showing a 48 mm x 46 mm air accumulation in the anterior segment of the liver. Portal gas formation is seen. (a; axial view. b; coronal view.)
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Portal gas could be seen around it (Fig. 1).
Contrast CT scan of the abdomen made two hours after the percutaneous drainage. The amount of gas accumulation is the same as in the previous examination. Enhanced material was present in the area with accumulated gas.
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A CT scan, 2 h after the first procedure, showed the tube drainage to be ineffective (Fig. 2).
Operative findings showing the disrupted surface of the anterior segment of the liver with a dark brownish color.
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The findings showed signs of ruptured liver gas gangrene (Fig. 3).
No liver abscess or accumulation of gas was detected in the abdominal CT scan made after 8 months.
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Three months after the surgical drainage, the drainage tube was removed at the clinic. 8 months after, no liver abscess or gas forming area was detected on the abdominal CT scan (Fig. 4).