J Korean Med Sci.  2007 Aug;22(4):750-753. 10.3346/jkms.2007.22.4.750.

Combined Hepatic and Splenic Abscesses in a Patient with Ulcerative Colitis

• Ji JS
• Kim HK
• Kim SS
• Cho YS
• Chae HS
• Kim CW
• Lee BI
• Choi H
• Kim BW
• Choi KY

• KMID: 1127100
• DOI: http://doi.org/10.3346/jkms.2007.22.4.750

Abstract

Liver abscesses are very rare complications of ulcerative colitis, and furthermore, there has been only one case of splenic abscess in a patient with ulcerative colitis reported in the English literature. We recently encountered a patient with ulcerative colitis accompanied by both hepatic and splenic abscesses. The patient was treated with abscess drainage as well as sulfasalazine and antibiotics. Follow-up sonography of the abdomen showed complete resolution of the lesions. To our knowledge, this is the first report of combined case of multiple liver abscesses combined with splenic abscess in a patient with ulcerative colitis.

Keyword

Liver Abscess; Ulcerative Colitis

MeSH Terms

Abdominal Abscess/complications/*pathology
Adolescent
Colitis, Ulcerative/complications/*pathology
Female
Humans
Liver Abscess/complications/*pathology
Splenic Diseases/complications/*pathology

Figure

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  Fig. 1 Colonoscopy showing hyperemic mucosa, diffuse multiple geographic ulcers, and mucosal nodularity.

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  Fig. 2 Barium enema radiograph revealing a shortened, haustra-free and narrowed entire colon without skip lesions.

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  Fig. 3 Photomicrograph of a liver biopsy specimen showing ulcer, infiltration of lymphocytes, and focal glandular disruption (H&E, ×200).

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  Fig. 4 Computed tomography scans of the abdomen showing several non-enhancing hypodense lesions in the right hepatic lobe and spleen.

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