Open AccessMultiple Pyogenic Liver Abscesses Caused by Microperforation of an Idiopathic Cecal Ulcer
Author(s) -
Dong Han Yeom,
Ki Chang Sohn,
Min Su Chu,
Eui Joong Kim,
Eun Young Cho,
Haak Cheoul Kim
Publication year - 2016
Publication title -
the korean journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.203
H-Index - 25
eISSN - 2233-6869
pISSN - 1598-9992
DOI - 10.4166/kjg.2016.67.1.44
Subject(s) - medicine , perforation , liver abscess , complication , abdominal pain , surgery , abscess , pyogenic liver abscess , gastroenterology , materials science , punching , metallurgy
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.