RESUMEN
Klebsiella pneumoniae is a known cause of pyogenic liver abscess and has an increased prevalence in Southeast Asia. We present two cases of individuals with remote travel history to southeast Asia presenting with fevers, chills, and abdominal pain secondary to pyogenic liver abscess. Neither individual had a comorbid medical condition or history of prior hepato-biliary pathology that would predispose them to bacterial translocation and abscess formation. These patients were both successfully treated with percutaneous drainage and antibiotics. We present these cases to add to the growing body of literature surrounding hyper-mucoid strains of Klebsiella pneumonia causing a pyogenic liver abscess.
RESUMEN
Pancreatic duct rupture and fistula formation are known complications of distal pancreatectomy (DP); however, internal pancreatic fistulas and duct ruptures as a result of pancreatitis with delayed onset after DP are rare. This case reports a 77-year-old man with acute pancreatitis presenting with a delayed pancreatic duct rupture, fistula, and pseudocyst formation at the resection site three years status-post distal pancreatectomy for resection of intraductal papillary mucinous neoplasm of pancreas. This case report is designed to bring attention to the possible risk of delayed internal pancreatic fistula years post distal pancreatectomy, in the setting of a first episode of acute pancreatitis.