Liver Abscess Secondary to Sigmoid Diverticulitis: A Case Report
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.