Liver abscess in asymptomatic perforating diverticulitis resembling malignant liver tumour

Česká verzia

Authors: I. Hejlová ¹; M. Oliverius ²; E. Honsová ⁴; D. Kautznerová ⁵; H. Filipová ⁵; J. Šperl ¹ ; J. Špičák ¹; P. Trunečka ³
Authors place of work: Klinika hepatogastroenterologie Přednosta: prof. MUDr. Julius Špičák, CSc. ¹; Klinika transplantační chirurgie Přednosta: prof. MUDr. Miloš Adamec, CSc. ²; Transplantcentrum Přednosta: MUDr. Pavel Trunečka, CSc. ³; Pracoviště klinické a transplantační patologie Přednosta: MUDr. Eva Honsová, Ph. D. ⁴; Pracoviště radiodiagnostiky a intervenční radiologie Přednosta: doc. MUDr. Jan Peregrin, CSc. Institut klinické a experimentální medicíny, Praha Ředitel: doc. MUDr. Jan Malý, CSc. ⁵
Published in the journal: Prakt. Lék. 2008; 88(8): 474-477
Category: Case Report

Summary

Pyogenic liver abscess is a rather uncommon disease with high mortality when untreated. Its most frequent causes are biliary tract diseases, it can also be related to portal bacteriaemia resulting from intraabdominal infection. Therapy of liver abscess includes administration of antibiotics with the addition in larger abscesses of percutaneous drainage. Only in a minority of patients is surgical drainage or resection indicated. We present a patient with a large liver abscess resembling malignant tumour in scans which was caused by asymptomatic perforating diverticulitis. Laparotomy allowed definitive diagnosis and a therapeutic solution consisting of resection of the perforating part of the colon and drainage of the liver abscess.

Keywords:
liver abscess, diverticulitis

Zdroje

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