Treating pyogenic liver abscesses secondary to diverticulitis in a patient using immunosuppressants for Crohn’s disease by performing a sigmoid colectomy
Pyogenic liver abscess (PLA) formation is a rare complication of Crohn’s disease (CD). As symptoms often mimic a CD exacerbation, diagnosis can be delayed leading to severe disease. The current case report describes a case of a patient with a history of CD that was admitted with multiple PLAs, which...
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| Veröffentlicht in: | BMJ case reports 2019-12, Vol.12 (12), p.e231031 |
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| creator | Pielage, Marin Vogels, Sanne Hoencamp, Rigo van den Bremer, Jephta |
| description | Pyogenic liver abscess (PLA) formation is a rare complication of Crohn’s disease (CD). As symptoms often mimic a CD exacerbation, diagnosis can be delayed leading to severe disease. The current case report describes a case of a patient with a history of CD that was admitted with multiple PLAs, which persisted despite percutaneous drainage combined with antibiotics. After a sigmoid resection, the liver abscesses diminished rapidly. |
| doi_str_mv | 10.1136/bcr-2019-231031 |
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As symptoms often mimic a CD exacerbation, diagnosis can be delayed leading to severe disease. The current case report describes a case of a patient with a history of CD that was admitted with multiple PLAs, which persisted despite percutaneous drainage combined with antibiotics. After a sigmoid resection, the liver abscesses diminished rapidly.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2019-231031</identifier><identifier>PMID: 31796454</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Abdomen ; Abscesses ; Antibiotics ; Blood ; Case reports ; Colectomy ; Colon ; Crohn Disease - complications ; Crohn Disease - drug therapy ; Crohn's disease ; Diverticulitis - complications ; Diverticulitis - diagnostic imaging ; Diverticulitis - pathology ; Diverticulitis - surgery ; gastroenterology ; gastrointestinal surgery ; Humans ; Immunosuppressive agents ; Immunosuppressive Agents - therapeutic use ; infection (gastroenterology) ; Liver ; Liver Abscess, Pyogenic - diagnostic imaging ; Liver Abscess, Pyogenic - etiology ; Liver Abscess, Pyogenic - pathology ; Male ; Medical imaging ; Middle Aged ; Novel treatment (new drug/intervention; established drug/procedure in new situation) ; Patients ; Positron Emission Tomography Computed Tomography ; Sigmoid Diseases - complications ; Sigmoid Diseases - diagnostic imaging ; Sigmoid Diseases - pathology ; Sigmoid Diseases - surgery ; Ulcers</subject><ispartof>BMJ case reports, 2019-12, Vol.12 (12), p.e231031</ispartof><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b492t-1e52ca6b5d656f37ce1d5a09021245adc634381c56ed6404342bbd7de1f237a63</citedby><cites>FETCH-LOGICAL-b492t-1e52ca6b5d656f37ce1d5a09021245adc634381c56ed6404342bbd7de1f237a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001689/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001689/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31796454$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pielage, Marin</creatorcontrib><creatorcontrib>Vogels, Sanne</creatorcontrib><creatorcontrib>Hoencamp, Rigo</creatorcontrib><creatorcontrib>van den Bremer, Jephta</creatorcontrib><title>Treating pyogenic liver abscesses secondary to diverticulitis in a patient using immunosuppressants for Crohn’s disease by performing a sigmoid colectomy</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><addtitle>BMJ Case Rep</addtitle><description>Pyogenic liver abscess (PLA) formation is a rare complication of Crohn’s disease (CD). As symptoms often mimic a CD exacerbation, diagnosis can be delayed leading to severe disease. The current case report describes a case of a patient with a history of CD that was admitted with multiple PLAs, which persisted despite percutaneous drainage combined with antibiotics. After a sigmoid resection, the liver abscesses diminished rapidly.</description><subject>Abdomen</subject><subject>Abscesses</subject><subject>Antibiotics</subject><subject>Blood</subject><subject>Case reports</subject><subject>Colectomy</subject><subject>Colon</subject><subject>Crohn Disease - complications</subject><subject>Crohn Disease - drug therapy</subject><subject>Crohn's disease</subject><subject>Diverticulitis - complications</subject><subject>Diverticulitis - diagnostic imaging</subject><subject>Diverticulitis - pathology</subject><subject>Diverticulitis - surgery</subject><subject>gastroenterology</subject><subject>gastrointestinal surgery</subject><subject>Humans</subject><subject>Immunosuppressive agents</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>infection (gastroenterology)</subject><subject>Liver</subject><subject>Liver Abscess, Pyogenic - diagnostic imaging</subject><subject>Liver Abscess, Pyogenic - etiology</subject><subject>Liver Abscess, Pyogenic - pathology</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Novel treatment (new drug/intervention; established drug/procedure in new situation)</subject><subject>Patients</subject><subject>Positron Emission Tomography Computed Tomography</subject><subject>Sigmoid Diseases - complications</subject><subject>Sigmoid Diseases - diagnostic imaging</subject><subject>Sigmoid Diseases - pathology</subject><subject>Sigmoid Diseases - surgery</subject><subject>Ulcers</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkc2KFDEUhQtRnGGctTsJuBGlnPxX10aQxj8YcDOCu5BKbvekqUrK3KqB3vka4tv5JKbosR0FwWwSON893JNTVY8ZfcmY0BedyzWnrK25YFSwe9Upa1RTNy39fP_O-6Q6R9zRcgSTKykeVieCNa2WSp5W368y2CnELRn3aQsxONKHG8jEdugAEZAguBS9zXsyJeIXcQpu7sMUkIRILBmLAcSJzLj4hGGYY8J5HHOZt3FCskmZrHO6jj--fsNigWARSLcnI-SiDcuYJRi2QwqeuNSDm9Kwf1Q92Nge4fz2Pqs-vX1ztX5fX35892H9-rLuZMunmoHizupOea30RjQOmFeWtpQzLpX1TgspVswpDV5LKoXkXecbD2zDRWO1OKteHXzHuRvAu5Il296MOQwltUk2mD-VGK7NNt2YhlKmV20xeHZrkNOXGXAyQyi_1_c2QprRcMGZ1pILVdCnf6G7NOdY4hVKNkpQrleFujhQLifEDJvjMoyapXtTujdL9-bQfZl4cjfDkf_VdAGeH4Bu2P2H24vf8HHBf9E_AXdVykM</recordid><startdate>20191202</startdate><enddate>20191202</enddate><creator>Pielage, Marin</creator><creator>Vogels, Sanne</creator><creator>Hoencamp, Rigo</creator><creator>van den Bremer, Jephta</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20191202</creationdate><title>Treating pyogenic liver abscesses secondary to diverticulitis in a patient using immunosuppressants for Crohn’s disease by performing a sigmoid colectomy</title><author>Pielage, Marin ; 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As symptoms often mimic a CD exacerbation, diagnosis can be delayed leading to severe disease. The current case report describes a case of a patient with a history of CD that was admitted with multiple PLAs, which persisted despite percutaneous drainage combined with antibiotics. After a sigmoid resection, the liver abscesses diminished rapidly.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>31796454</pmid><doi>10.1136/bcr-2019-231031</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Abscesses Antibiotics Blood Case reports Colectomy Colon Crohn Disease - complications Crohn Disease - drug therapy Crohn's disease Diverticulitis - complications Diverticulitis - diagnostic imaging Diverticulitis - pathology Diverticulitis - surgery gastroenterology gastrointestinal surgery Humans Immunosuppressive agents Immunosuppressive Agents - therapeutic use infection (gastroenterology) Liver Liver Abscess, Pyogenic - diagnostic imaging Liver Abscess, Pyogenic - etiology Liver Abscess, Pyogenic - pathology Male Medical imaging Middle Aged Novel treatment (new drug/intervention established drug/procedure in new situation) Patients Positron Emission Tomography Computed Tomography Sigmoid Diseases - complications Sigmoid Diseases - diagnostic imaging Sigmoid Diseases - pathology Sigmoid Diseases - surgery Ulcers |
| title | Treating pyogenic liver abscesses secondary to diverticulitis in a patient using immunosuppressants for Crohn’s disease by performing a sigmoid colectomy |
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