Hepato-colic Fistula: A Rare Complication of Pyogenic Liver Abscess

2016 ◽  
Vol 111 ◽  
pp. S855-S856
Author(s):  
Aeden Bernice Timbol ◽  
Karen Mondragon ◽  
Virgilio Banez
2020 ◽  
Vol 14 (1) ◽  
pp. 165-171
Author(s):  
Edward Paul Joseph Muscat

Pyogenic liver abscesses, despite being a rare complication of diverticulitis and inflammatory bowel disease, are potentially serious life-threatening pathologies. Diverticular diseases can lead to disruption of the colonic mucosal barrier and can serve as a route for bacterial infection via the portal venous system. This patient had such a delayed presentation due to his atypical symptoms; he developed large abscess formation, detected by computed tomography, eventually requiring an ultrasound-guided drain followed by a colonoscopy. The present report describes an elderly gentleman who developed a bacterial liver abscess due to seeding of a commensal organism caused by sigmoid diverticulitis.


2014 ◽  
Vol 2014 (jul17 1) ◽  
pp. bcr2014204175-bcr2014204175 ◽  
Author(s):  
V. S. Gandham ◽  
B. Pottakkat ◽  
L. C. Panicker ◽  
R. V. Hari

2017 ◽  
Vol 23 (1) ◽  
pp. 87-90 ◽  
Author(s):  
Kyu Won Lee ◽  
Hee Yeon Kim ◽  
Chang Wook Kim ◽  
Young Ki Kim ◽  
Ohbeom Kwon ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
pp. e240080
Author(s):  
Laurence Collins ◽  
Tom Diamond

Fusobacterium nucleatum is a periodontal commensal and pathogen. In rare cases, these anaerobic gram-negative bacilli have been reported to cause pyogenic liver abscesses (PLAs). We describe a patient who developed a periodontal abscess during the COVID-19 pandemic and was unable to access the restricted General Dental Services at this time. She subsequently developed a F. nucleatum bacteraemia and liver abscess. The non-specific signs and symptoms experienced meant the patient self-isolated due to suspected COVID-19 infection and presentation to hospital was delayed. We also include the results of a literature search of other cases of PLAs attributed to F. nucleatum. PLAs often develop insidiously. They require percutaneous drainage and prolonged antimicrobial therapy. Clinicians should be aware of this rare complication of a dentoalveolar infection in a patient who is systemically unwell.


2016 ◽  
Vol 60 (8) ◽  
pp. 568-569 ◽  
Author(s):  
Edoardo Virgilio ◽  
Paolo Mercantini ◽  
Mario Ferri ◽  
Marco Cavallini

Author(s):  
Hussam Mousa ◽  
Ghada Salameh Mohammed Al-Bluwi ◽  
Zainab Fathi Mohammed Al Drini ◽  
Huda Imam Gasmelseed ◽  
Jamal Aldeen Alkoteesh ◽  
...  

Abstract Background There is a dearth of information on liver abscesses in the United Arab Emirates. Herein, we describe the clinical features of liver abscesses and determine their incidence rates and clinical outcomes. Methods We retrospectively reviewed the clinical charts of adult patients with a primary diagnosis of liver abscess at a major hospital over a 7-year period. Results Amongst 45 patients, 82.2% (37/45) had a pyogenic liver abscess (PLA) and 17.8% (8/45) had amoebic liver abscesses (ALA). Overall, patients were young (median age 42 years, IQR 35–52), mostly males (77.8%, 35/45) from the Indian subcontinent (55.6%, 25/45), presented with fever (88.9%, 40/45) and abdominal pain (88.9%, 40/45), and had a solitary abscess on imaging (71.1% (32/45). Crude annual incidence rates were 35.9/100,000 hospital admissions (95% CI 26.2–48.0) and 5.9/100,000 inhabitants (95% CI 4.3–7.9). All ALA patients were from the Indian subcontinent (100%, 8/8). Klebsiella pneumoniae was the most frequent pathogen in PLA (43.2% [16/37], 95% CI 27.1–60.5%). The hospital stay was shorter in ALA (7.5 days, IQR 7–8.5) than in PLA (14 days, IQR 9–17). No deaths were recorded within 30 days of hospitalisation. Conclusions ALA was exclusively seen in migrants from the Indian subcontinent, suggesting importation. Further research to characterise K. pneumoniae isolates and assess potential risk factors is needed.


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