Limits...
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 – 3 days post-admission. Ultrasound revealing the opaque fluid collection (abscess) inside the previously clear right liver lobe cystic mass.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2277430&req=5

Figure 3: During second admission – 3 days post-admission. Ultrasound revealing the opaque fluid collection (abscess) inside the previously clear right liver lobe cystic mass.

Mentions: Three days after his admission, because of a drop of the hematocrit to 20.9%, elevation of the patient's temperature (39°C), and worsening of his general condition, ultrasound examination was repeated and showed that the largest of the hepatic cysts contained opaque fluid (Fig. 3), in contrast to the ultrasound that was performed at the first admission, where the fluid of the cyst appeared to be clear. Abdominal CT scan, showed the formation of an hepatic abscess at the site of the pre-existing hepatic cyst.


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 – 3 days post-admission. Ultrasound revealing the opaque fluid collection (abscess) inside the previously 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 3: During second admission – 3 days post-admission. Ultrasound revealing the opaque fluid collection (abscess) inside the previously clear right liver lobe cystic mass.
Mentions: Three days after his admission, because of a drop of the hematocrit to 20.9%, elevation of the patient's temperature (39°C), and worsening of his general condition, ultrasound examination was repeated and showed that the largest of the hepatic cysts contained opaque fluid (Fig. 3), in contrast to the ultrasound that was performed at the first admission, where the fluid of the cyst appeared to be clear. Abdominal CT scan, showed the formation of an hepatic abscess at the site of the pre-existing hepatic cyst.

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