Successful Non-surgical Management of Emphysematous Hepatitis During Chemotherapy for Acute Myeloid Leukemia

Emphysematous hepatitis (EH) is a rare and fatal liver infection characterized by gas replacement of the liver parenchyma. We report a case of a 69-year-old male who was admitted for chemotherapy for acute myeloid leukemia (AML). On admission, he presented with fever and right hypochondrial pain, and EH was diagnosed by computed tomography (CT). Although invasive procedures were withheld due to thrombocytopenia, the patient was successfully treated with antibiotics alone. EH may be managed conservatively if diagnosed at an early stage.