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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 second admission. Abdominal CT scan revealing the same clear right liver lobe cystic mass.
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Figure 2: During second admission. Abdominal CT scan revealing the same clear right liver lobe cystic mass.

Mentions: One month later the patient returned to the hospital with malaise, vague abdominal pain, anorexia, poor general condition and slightly elevated temperature (37.2–37.5°C). Physical examination of the abdomen was normal, and the laboratory results were: WBC: 10.100/mm3 (Seg 78%, Lymp 16%, Eos 2%, M 4%), Ht: 29.1%, Hb: 9.3 g/dl and PLT: 629.000/mm3, AST/ALT: 126/37 U/l, amylase 184. Abdominal ultrasound and CT scan did not reveal any abnormal or unexpected finding, except of course the simple hepatic cysts which were of the same dimensions. (Fig. 2)


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 second admission. Abdominal CT scan revealing the same clear right liver lobe cystic mass.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: During second admission. Abdominal CT scan revealing the same clear right liver lobe cystic mass.
Mentions: One month later the patient returned to the hospital with malaise, vague abdominal pain, anorexia, poor general condition and slightly elevated temperature (37.2–37.5°C). Physical examination of the abdomen was normal, and the laboratory results were: WBC: 10.100/mm3 (Seg 78%, Lymp 16%, Eos 2%, M 4%), Ht: 29.1%, Hb: 9.3 g/dl and PLT: 629.000/mm3, AST/ALT: 126/37 U/l, amylase 184. Abdominal ultrasound and CT scan did not reveal any abnormal or unexpected finding, except of course the simple hepatic cysts which were of the same dimensions. (Fig. 2)

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