{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T22:45:48Z","timestamp":1763160348480,"version":"3.45.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pyogenic liver abscess (PLA) is a rare but life-threatening condition. First-line management includes antimicrobial therapy and image-guided percutaneous drainage. Surgical resection is rarely required but remains an important method for definitive source control in selected cases. We report the case of a 65-year-old man with a large hepatic abscess that remained refractory to percutaneous drainage. Culture of the drain aspirate grew Klebsiella aerogenes and Candida albicans. Despite appropriate antimicrobial therapy, the patient\u2019s sepsis persisted, and imaging demonstrated inadequate resolution of the abscess. The patient underwent a hepatectomy and cholecystectomy. The post-operative course was complicated by a prolonged ileus, and the patient was well in his outpatient follow-up a few months after discharge. While uncommon in the modern era, hepatectomy remains a definitive treatment option for hepatic abscess when percutaneous drainage fails. Early recognition of treatment failure and timely escalation to surgery can be lifesaving.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf891","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T22:42:29Z","timestamp":1763160149000},"source":"Crossref","is-referenced-by-count":0,"title":["Salvage hepatectomy in refractory pyogenic liver abscess: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1786-8220","authenticated-orcid":false,"given":"Sophia","family":"Chan","sequence":"first","affiliation":[{"name":"Department of General Surgery, Cairns Hospital , 165 The Esplanade, QLD 4870 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"2025111417421960000_ref1","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1136\/flgastro-2013-100371","article-title":"Pyogenic liver abscess. Frontline","volume":"5","author":"Webb","year":"2013","journal-title":"Gastroenterology"},{"key":"2025111417421960000_ref2","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/j.jviscsurg.2015.01.013","article-title":"Hepatic abscess: diagnosis and management","volume":"152","author":"Lardi\u00e8re-Deguelte","year":"2015","journal-title":"J Visc Surg"},{"key":"2025111417421960000_ref3","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1111\/ans.12411","article-title":"Pyogenic liver abscess trends in South Australia","volume":"85","author":"Chang","year":"2013","journal-title":"ANZ J Surg"},{"key":"2025111417421960000_ref4","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1007\/bf01213305","article-title":"Right hepatectomy for pyogenic liver abscesses with true multiloculation","volume":"32","author":"Kurosaki","year":"1997","journal-title":"J Gastroenterol"},{"key":"2025111417421960000_ref5","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226652","article-title":"Hypermucoviscous Klebsiella pneumoniae liver abscess requiring liver resection","author":"Chan","year":"2018"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/11\/rjaf891\/65292724\/rjaf891.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/11\/rjaf891\/65292724\/rjaf891.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T22:42:30Z","timestamp":1763160150000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf891\/8323577"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":5,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf891","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,11]]},"article-number":"rjaf891"}}