出血性合併症を伴い複数回のドレナージを行った Edwardsiella tarda の肝胆道系敗血症の1例(A case of Edwardsiella tarda sepsis due to hepatobiliary infection with hemorrhagic complication requiring repeated drainage)

Key Points

• To present a case of sepsis due to a hepatobiliary infection from Edwardsiella tarda with coagulation dysfunction.
• Case report of a male in his 70s presenting with respiratory distress and unstable circulation.
• Diagnosis of septic shock due to hepatobiliary infection confirmed by imaging showing liver abscess and bile duct dilation.
• Management included fluid resuscitation, antibiotic therapy, and vasopressors, alongside endoscopic interventions and percutaneous drainage.
• Initial drainage using endoscopic retrograde cholangiopancreatography was unsuccessful due to a hematoma.
• Subsequent management included increasing the size of the drainage tube and additional percutaneous interventions on days 5 and 28.