Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis: An Unusual Presentation

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 por...

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Main Author: Edward Paul Joseph Muscat
Format: Article
Language:English
Published: Karger Publishers 2020-04-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:https://www.karger.com/Article/FullText/506932
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author Edward Paul Joseph Muscat
author_facet Edward Paul Joseph Muscat
author_sort Edward Paul Joseph Muscat
collection DOAJ
description 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.
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spelling doaj.art-04aa6c72bafe469894d8b0abf92382d52022-12-21T19:02:16ZengKarger PublishersCase Reports in Gastroenterology1662-06312020-04-0114116517110.1159/000506932506932Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis: An Unusual PresentationEdward Paul Joseph MuscatPyogenic 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.https://www.karger.com/Article/FullText/506932diverticulitisabscessinfectionstreptococcus
spellingShingle Edward Paul Joseph Muscat
Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis: An Unusual Presentation
Case Reports in Gastroenterology
diverticulitis
abscess
infection
streptococcus
title Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis: An Unusual Presentation
title_full Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis: An Unusual Presentation
title_fullStr Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis: An Unusual Presentation
title_full_unstemmed Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis: An Unusual Presentation
title_short Pyogenic Liver Abscess Secondary to Sigmoid Diverticulitis: An Unusual Presentation
title_sort pyogenic liver abscess secondary to sigmoid diverticulitis an unusual presentation
topic diverticulitis
abscess
infection
streptococcus
url https://www.karger.com/Article/FullText/506932
work_keys_str_mv AT edwardpauljosephmuscat pyogenicliverabscesssecondarytosigmoiddiverticulitisanunusualpresentation