{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:39:41Z","timestamp":1792791581596,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Hepatogastric fistula is a rare complication of pyogenic liver abscess. We report an 18\u2010year\u2010old male with 3\u2009weeks of fever, melena, and epigastric discomfort. Ultrasound showed a contracted gallbladder with wall thickening and sludge without cholelithiasis. Triphasic CT demonstrated a solid\u2013cystic collection in hepatic segments IV and V abutting the gastric antrum, compatible with a fine communication. Esophagogastroduodenoscopy revealed a 3\u2009mm antral mucosal orifice with purulent drainage. Smear showed neutrophil\u2010predominant exudate and Gram\u2010positive cocci; culture yielded\n \n Staphylococcus aureus<\/jats:italic>\n <\/jats:styled-content>\n susceptible to ciprofloxacin and clindamycin. Therapy was narrowed to ciprofloxacin 400\u2009mg twice daily and clindamycin 600\u2009mg three times daily. A 14\u2010day\n \n Helicobacter pylori<\/jats:italic>\n <\/jats:styled-content>\n eradication regimen was completed. Subsequently, laparoscopic cholecystectomy was performed. Intraoperatively the gallbladder was contracted with an inflamed but intact wall containing sludge; Calot's triangle was edematous yet the critical view of safety was obtained, and no cholecystoenteric fistula was identified. No drainable hepatic collection was present, consistent with decompression through the antral orifice. Opening the specimen demonstrated microlithiasis. Recovery was uneventful, and the patient remained with normal laboratory indices at 3\u2009months. This case highlights the complementary roles of cross\u2010sectional imaging and endoscopy and supports individualized management in young patients with biliary\u2010source liver abscess.\n <\/jats:p>","DOI":"10.1002\/ccr3.71331","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T04:28:49Z","timestamp":1761020929000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hepatogastric Fistula as a Rare Complication of Pyogenic Liver Abscess: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"given":"Mohammad Kazem","family":"Amirbeigy","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Shahid Sadoughi University of Medical Sciences Yazd Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir Pasha","family":"Amel Shahbaz","sequence":"additional","affiliation":[{"name":"Department of Radiology Shahid Sadoughi University of Medical Sciences Yazd Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Sekandari","sequence":"additional","affiliation":[{"name":"Cardiology Resident Shahid Sadoughi University of Medical Sciences Yazd Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6213-9198","authenticated-orcid":false,"given":"Shahab","family":"Sheikhalishahi","sequence":"additional","affiliation":[{"name":"Student Research Committee Shahid Sadoughi University of Medical Sciences Yazd 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Bacterial Meningitis","volume":"104","author":"Tomiyama Y.","year":"2007","journal-title":"Nihon Shokakibyo Gakkai Zasshi = The Japanese Journal of Gastro\u2010Enterology"},{"issue":"11","key":"e_1_2_15_17_1","first-page":"456","article-title":"Spontaneous Fistulisation of a Liver Abscess Into the Stomach","volume":"65","author":"Monge\u2010Fresse A.","year":"2007","journal-title":"Netherlands Journal of Medicine"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MS9.0000000000000791"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-072736"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i42.7472"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"}],"container-title":["Clinical Case 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