Crohn’s Disease Presenting with Pyogenic Liver Abscess: A Case Report

Pyogenic liver abscess (PLA) is a rare extraintestinal complication of Crohn’s disease (CD), and the clinical and laboratory findings may emulate the reactivation of CD, therefore, delaying diagnosis. In this paper the patient presented with PLA as the initial manifestation of CD and experienced severe disease. The finding of PLA was established by computed tomography and initial treatment involved percutaneous drainage and antibiotics. The diagnosis of CD was made after colonoscopy and histological investigations.

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Treating pyogenic liver abscesses secondary to diverticulitis in a patient using immunosuppressants for Crohn’s disease by performing a sigmoid colectomy

BMJ Case Reports ◽

10.1136/bcr-2019-231031 ◽

2019 ◽

Vol 12 (12) ◽

pp. e231031 ◽

Cited By ~ 1

Author(s):

Marin Pielage ◽

Sanne Vogels ◽

Rigo Hoencamp ◽

Jephta van den Bremer

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Rare Complication ◽

Severe Disease ◽

Pyogenic Liver Abscess ◽

Sigmoid Resection ◽

Sigmoid Colectomy ◽

Current Case ◽

Liver Abscesses ◽

History Of

Pyogenic liver abscess (PLA) formation is a rare complication of Crohn’s disease (CD). As symptoms often mimic a CD exacerbation, diagnosis can be delayed leading to severe disease. The current case report describes a case of a patient with a history of CD that was admitted with multiple PLAs, which persisted despite percutaneous drainage combined with antibiotics. After a sigmoid resection, the liver abscesses diminished rapidly.

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Osteoporosis as an initial manifestation in a patient with Crohn's disease: A case report

Experimental and Therapeutic Medicine ◽

10.3892/etm.2018.5910 ◽

2018 ◽

Cited By ~ 1

Author(s):

Hongyun Wei ◽

Chunhui Ouyang ◽

Dehong Peng ◽

Fanggen Lu ◽

Jie Zhang

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Crohn's Disease ◽

Initial Manifestation

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Liver Abscess in Crohn's Disease: A Case Report.

Nippon Daicho Komonbyo Gakkai Zasshi ◽

10.3862/jcoloproctology.50.344 ◽

1997 ◽

Vol 50 (5) ◽

pp. 344-349 ◽

Cited By ~ 1

Author(s):

M. Shiozawa ◽

S. Suzuki ◽

D. Takahashi ◽

I. Tamura ◽

F. Fukano ◽

...

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Crohn's Disease ◽

Liver Abscess

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Gingival Swelling as the Initial Manifestation of Crohn’s Disease: A Case Report

Journal of Japanese Society of Oral Medicine ◽

10.6014/jjsom.23.84 ◽

2017 ◽

Vol 23 (2) ◽

pp. 84-89

Author(s):

Kazuyuki TSUNODA ◽

Hidekazu SATO ◽

Shutaro ISHII ◽

Natsuo OZAWA ◽

Hiroyuki TSUNODA ◽

...

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Crohn's Disease ◽

Initial Manifestation

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Hepatic Abscess in a Returning Traveler with Crohn’s Disease: Differentiating Amebic from Pyogenic Liver Abscess

Case Reports in Medicine ◽

10.1155/2018/9593865 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Daria Gaut ◽

Hannah Shull ◽

Anthony Bejjani ◽

Daniel Kahn

Keyword(s):

Inflammatory Bowel Disease ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Liver Abscess ◽

Clinical Presentation ◽

Hepatic Abscess ◽

Pyogenic Liver Abscess ◽

Amebic Liver Abscess ◽

Liver Abscesses ◽

Inflammatory Bowel

Liver abscess is a rare but serious complication of Crohn’s disease. Patients with Crohn’s disease are at risk for pyogenic liver abscesses due to immunosuppressive therapy, fistulous disease, and intraabdominal abscesses. Inflammatory bowel disease patients are also known to have a greater prevalence of amebiasis compared to the rest of the population; however, a higher incidence of amebic liver abscess has not been reported. We describe a case of a liver abscess in a patient with Crohn’s disease that was initially presumed pyogenic but later determined to be amebic in origin. Epidemiology, clinical presentation, diagnosis, and treatment of amebic and pyogenic liver abscesses are discussed.

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