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Hepatic abscess in a pre-existed simple hepatic cyst as a late complication of sigmoid colon ruptured diverticula: a case report.

Chatzipetrou M, Avgerinos E, Christianakis E, Barmparas G, Pashalidis N, Stathoulopoulos A, Tsatsoulis P, Smailis D, Filippou D - J Med Case Rep (2008)

Bottom Line: This report describes a man who developed an hepatic abscess within a simple hepatic cyst, two months after operation for ruptured diverticula of the sigmoid colon.The abscess was drained surgically and the patient made a complete recovery.A high degree of clinical suspicion is required for immediate diagnosis and treatment.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, "Asklepeion Voula's Hospital", Athens, Greece. mchatzmed@yahoo.com

ABSTRACT

Introduction: Hepatic abscesses have been reported as a rare complication of diverticulitis of the bowel. This complication is recognized more commonly at the time of the diagnosis of diverticulitis, or ruptured diverticula, but also can be diagnosed prior to surgery, or postoperatively.

Case presentation: This report describes a man who developed an hepatic abscess within a simple hepatic cyst, two months after operation for ruptured diverticula of the sigmoid colon. The abscess was drained surgically and the patient made a complete recovery.

Conclusion: The development of an hepatic abscess in a pre-existing hepatic cyst, secondary to diverticulitis, is a rare complication. A high degree of clinical suspicion is required for immediate diagnosis and treatment.

No MeSH data available.


Related in: MedlinePlus

During first admission. Abdominal ultrasound revealing a sizeable right liver lobe cystic mass.
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Figure 1: During first admission. Abdominal ultrasound revealing a sizeable right liver lobe cystic mass.

Mentions: Blood tests on admission revealed: WBC: 18.200/mm3 (Seg 90%, Lymp 7%, Eos 1%, M 2%), Ht: 35.2%, Hb: 11.5 g/dl and PLT: 537.000/mm3, AST/ALT: 35/29 U/l, LDH: 116, CPK 77. Ultrasound (U/S) and CT scan of the abdomen demonstrated multiple simple hepatic cysts on both lobes, the larger of those on the right lobe with a dimension of 12 cm. (Fig. 1)


Hepatic abscess in a pre-existed simple hepatic cyst as a late complication of sigmoid colon ruptured diverticula: a case report.

Chatzipetrou M, Avgerinos E, Christianakis E, Barmparas G, Pashalidis N, Stathoulopoulos A, Tsatsoulis P, Smailis D, Filippou D - J Med Case Rep (2008)

During first admission. Abdominal ultrasound revealing a sizeable right liver lobe cystic mass.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2277430&req=5

Figure 1: During first admission. Abdominal ultrasound revealing a sizeable right liver lobe cystic mass.
Mentions: Blood tests on admission revealed: WBC: 18.200/mm3 (Seg 90%, Lymp 7%, Eos 1%, M 2%), Ht: 35.2%, Hb: 11.5 g/dl and PLT: 537.000/mm3, AST/ALT: 35/29 U/l, LDH: 116, CPK 77. Ultrasound (U/S) and CT scan of the abdomen demonstrated multiple simple hepatic cysts on both lobes, the larger of those on the right lobe with a dimension of 12 cm. (Fig. 1)

Bottom Line: This report describes a man who developed an hepatic abscess within a simple hepatic cyst, two months after operation for ruptured diverticula of the sigmoid colon.The abscess was drained surgically and the patient made a complete recovery.A high degree of clinical suspicion is required for immediate diagnosis and treatment.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, "Asklepeion Voula's Hospital", Athens, Greece. mchatzmed@yahoo.com

ABSTRACT

Introduction: Hepatic abscesses have been reported as a rare complication of diverticulitis of the bowel. This complication is recognized more commonly at the time of the diagnosis of diverticulitis, or ruptured diverticula, but also can be diagnosed prior to surgery, or postoperatively.

Case presentation: This report describes a man who developed an hepatic abscess within a simple hepatic cyst, two months after operation for ruptured diverticula of the sigmoid colon. The abscess was drained surgically and the patient made a complete recovery.

Conclusion: The development of an hepatic abscess in a pre-existing hepatic cyst, secondary to diverticulitis, is a rare complication. A high degree of clinical suspicion is required for immediate diagnosis and treatment.

No MeSH data available.


Related in: MedlinePlus