scholarly journals S2450 A Case of Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis With Atypical Presentation

2020 ◽  
Vol 115 (1) ◽  
pp. S1298-S1298
Author(s):  
Haoran Peng ◽  
Subbaramiah Sridhar ◽  
Shashi Poddar
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.


1960 ◽  
Vol 38 (2) ◽  
pp. 262-266 ◽  
Author(s):  
Richard Knowles ◽  
Joseph A. Rinaldo

1976 ◽  
Vol 184 (2) ◽  
pp. 241-243 ◽  
Author(s):  
MARC K. WALLACK ◽  
ARTHUR S. BROWN ◽  
ROBERT AUSTRIAN ◽  
WILLIAM T. FITTS

2019 ◽  
pp. 1-2
Author(s):  
Wen Jye Wong

Bowel cancer is the second most common non-cutaneous cancer diagnosed in Australia in both the sexes. Australia has one of the highest incidence of bowel cancer in the world. Pyogenic liver abscess has been reported to be associated with malignancy especially hepatobiliary and colorectal cancer. A healthy 70 years old woman presented with non-specific symptoms which was initially thought to be secondary to haematological malignancy. Further investigation noted multiple large cystic and solid hepatic masses, which were suggestive of metastasis. However, hepatic lesions responded significantly with antibiotics which was in keeping with liver abscess instead. She was subsequently confirmed to have caecal adenocarcinoma with no distant metastasis. Although uncommon, pyogenic liver abscess can be the first presentation for colorectal malignancy. Colonoscopy is essential especially if no clear cause of liver abscess is identified.


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