Partial hepatectomy for pancreatic-origin hepatic abscess with intracystic hemorrhage following severe acute pancreatitis: a case report

Local complications of severe acute pancreatitis commonly include pancreatic necrosis, pancreatic pseudocysts, and peripancreatic abscesses. However, hepatic abscess secondary to pancreatitis is extremely rare. The routes of infection may occur through dissemination via the portal venous system or lymphatic system, or through direct infiltration from peripancreatic inflammatory spread. The latter, due to direct hepatic invasion by bacteria and amylase, is prone to complicated intracystic hemorrhage. This article aims to explore the management of a rare case of pancreatic-origin hepatic abscess with intracystic hemorrhage treated primarily through partial hepatectomy, summarizing therapeutic experience for such patients.