Open AccessLiver Abscess Caused by Citrobacter Freundii Secondary to Cholecysto-antral Fistula: A Case Report
Author(s) -
Amal Hajri,
Oussama Lafkih,
Driss Erguibi,
Saâd Rifki Jai,
Rachid Boufettal,
Farid Chehab
Publication year - 2020
Publication title -
european journal of medical and health sciences
Language(s) - English
Resource type - Journals
ISSN - 2593-8339
DOI - 10.24018/ejmed.2020.2.2.212
Subject(s) - medicine , fistula , liver abscess , pyogenic liver abscess , citrobacter freundii , biliary fistula , abscess , gallbladder , surgery , context (archaeology) , general surgery , gastroenterology , enterobacteriaceae , biology , paleontology , biochemistry , escherichia coli , gene
Liver abscesses secondary to bilio-enteric fistulas are rare and therefore unknown to the attending physician. In this report, we present a bilio-enteric communication, between the gallbladder; which was macro lithiasic; and the stomach revealed by an upper digestive hemorrhage in a septic context in a 34 year old man. A pyogenic bacterial liver abscess developed because of the fistula without biliary obstruction. The patient was treated surgically with disconnection of the fistula and drainage of the abscess. The liver abscess is probably due to the contamination of the bile by the cholecysto-gastric fistula. The germ isolated was a citrobacter freundii which is rarely involved in liver abscesses.