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Liver abscess as the initial manifestation of colonic Crohn's disease: Report of a case

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Abstract

Liver abscess is a rare complication of Crohn's disease and in most of the reported cases, the diagnosis of Crohn's disease preceded that of liver abscess. We report herein a case in which a liver abscess was the initial clinical manifestation of Crohn's disease in a 36 year old man who presented with high fever and weakness. The diagnosis of liver abscess was established by abdominal ultrasonography, computed tomography and an arterial blood culture. The abscess was resolved with antibiotic therapy alone and during the drug therapy, a barium enema examination was performed which revealed a stricture at the transverse colon. Resection of the transverse colon was performed and macroscopic and microscopic examination of the resected specimen established the diagnosis of Crohn's disease. The liver abscess was thus speculated to be secondary to the inflamed bowel. Although rare, Crohn's disease should be included in the differential diagnosis of diseases causing liver abscess.

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Authors and Affiliations

  1. The First Department of Surgery, Akita University School of Medicine, Hondo 1-1-1, 010, Akita, Japan

    Hitoshi Kotanagi MD, Sumiyuki Sone, Takemi Fukuoka, Tomio Narisawa & Kenji Koyama

  2. The First Department of Internal Medicine, Akita University School of Medicine, Hondo 1-1-1, 010, Akita, Japan

    Hitoshi Yagisawa, Mitsuroh Chiba & Osamu Masamune

Authors
  1. Hitoshi Kotanagi MD
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  2. Sumiyuki Sone
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  3. Takemi Fukuoka
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  4. Tomio Narisawa
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  5. Kenji Koyama
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  6. Hitoshi Yagisawa
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  7. Mitsuroh Chiba
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  8. Osamu Masamune
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Kotanagi, H., Sone, S., Fukuoka, T. et al. Liver abscess as the initial manifestation of colonic Crohn's disease: Report of a case. The Japanese Journal of Surgery 21, 348–351 (1991). https://doi.org/10.1007/BF02470959

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  • DOI: https://doi.org/10.1007/BF02470959

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