Liver Abscess Secondary to Sigmoid Diverticulitis: A Case Report

化膿性肝膿瘍經常以右上腹痛及發燒來表現，常見的原因大部分以膽道疾病為主，但有時也原因不明，此時腸道疾病所造成的併發症就必須列入鑑別診斷。一個化膿性肝膿瘍的案例，經抗生素治療後兩週，發現有腹脹及下腹痛的情形，最後經由腹部電腦斷層及鋇劑灌腸攝影，診斷出乙狀結腸憩室炎，經手術治療後發現培養出的細菌與之前化膿性肝膿瘍的菌種相同，最後診斷為乙狀結腸炎併發肝膿瘍。經由此一病例，對於任何不明原因所造成的化膿性肝膿瘍，安排腸道的檢查：包括大腸鏡、鋇劑灌腸及腹部電腦斷層等檢查，有其必要性，以排除腸道疾病所造成的併發症的可能性。

關鍵字

無資料

並列摘要

Pyogenic liver abscess (PLA) which often presented by right sided abdominal pain and fever is a serious and life-threatening pathology. Biliary tract disease is the etiology of the abscess in most cases but sometimes the origin remains unidentified. A sigmoid septic source which maybe paucisymptomatic or hidden by an immunosuppressive treatment must be looked for. We present a case of liver abscess, which are secondary to unrecognized sigmoiditis. The etiologic diagnosis was made by abdomino-pelvic computed tomography, colonoscopy and barium-enema. The liver abscesses were emptied by aspiration and catheter drainage in conjunction with antibiotics. Surgical treatment of sigmoiditis was performed later. It is suggested that any liver abscess of unknown origin must lead to a search for unknown or disguised septic sigmoid pathology. Most of the time, contrast-enhanced abdominopelvic computed tomography makes the diagnosis possible, but barium enema or colonoscopy is sometimes necessary.

並列關鍵字

Liver abscess ； Pyogenic ； Sigmoiditis ； Diverticulitis

國際替代計量

Liver Abscess Secondary to Sigmoid Diverticulitis: A Case Report

全文下載

主題瀏覽