Ewha Med J.  2011 Sep;34(2):60-63. 10.12771/emj.2011.34.2.60.

Recurred Cryptogenic Liver Abscess Secondary to Colon Cancer in a Non-diabetic Man

• Jun SJ
• Kim TH
• Ryu MS
• Oh DY
• Song ME
• Lee S
• Ryu JI
• Kim HI
• Moon IH
• Yoo K

• KMID: 2283972
• DOI: http://doi.org/10.12771/emj.2011.34.2.60

Abstract

The causes of pyogenic liver abscess has been known as biliary tract disease or intrabadominal infection but the large proportions of the patients has no apparent underlying disorders. Recently colonic mucosal lesions were reported in patients with cryptogenic liver abscess and it has been suggested that colonic mucosal break may play a role in developing liver abscess in otherwise healthy patients. We experienced a patient of severe recurrent liver abscess complicated with endophthalmitis only 3 months after successful treatment of initial cryptogenic liver abscess and a polypoid colon cancer was discovered by chance. It seems prudent to proceed colonoscopic examination in patients with cryptogenic liver abscess especially when it is recurrent.

Keyword

Liver abscess; Recurrence; Colon cancer; Klebsiella pneumoniae

MeSH Terms

Biliary Tract Diseases
Colon
Colonic Neoplasms
Endophthalmitis
Humans
Klebsiella pneumoniae
Liver
Liver Abscess
Liver Abscess, Pyogenic
Recurrence

Figure

• 

  Fig. 1 Abdominal CT findings. (A) There are organized abscess in S8 after the first optimal treatment of liver abscess. (B) Newly appeared liver abscess in S7 is noted only after 3 month.

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  Fig. 2 Gross finding of colon polyp. About 2.4 cm sized polyp of sigmoid colon was noted in colonoscopy. Polypectomy was done after snaring the stalk. The mass revealed adenocarcinoma with invasion into submucosa.

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