Korean J Gastroenterol.  2016 Jan;67(1):44-48. 10.4166/kjg.2016.67.1.44.

Multiple Pyogenic Liver Abscesses Caused by Microperforation of an Idiopathic Cecal Ulcer

Affiliations
  • 1Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea. hckimgold@wonkwang.ac.kr

Abstract

Idiopathic cecal ulcer is a rare disease entity of unknown cause diagnosed by ruling out other known causes of cecal ulceration. The most common complication of an idiopathic cecal ulcer is bleeding; perforation, peritonitis, abscess, and stricture formation have been noted. The authors treated a 53-year-old woman who presented with fever and intermittent right upper quadrant abdominal pain. Multiple pyogenic liver abscess and a solitary cecal ulcer were diagnosed by radiologic, endoscopic, and pathologic examination, followed by laparoscopic cecectomy. After extensive study, we concluded that this patient's liver abscesses were a complication of the idiopathic cecal ulcer. Herein, we report a case of multiple pyogenic liver abscess caused by microperforation of idiopathic cecal ulcer.

Keyword

Idiopathic cecal ulcer; Liver abscess

MeSH Terms

Cecal Diseases/complications/*diagnosis/surgery
Colonoscopy
Female
Humans
Laparoscopy
Liver/pathology
Liver Abscess, Pyogenic/*diagnosis/etiology
Middle Aged
Tomography, X-Ray Computed
Ulcer/complications/*diagnosis/surgery
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