- Author:
Dong Han YEOM
1
;
Ki Chang SOHN
;
Min Su CHU
;
Dong Ho JO
;
Eun Young CHO
;
Haak Cheoul KIM
Author Information
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords: Idiopathic cecal ulcer; Liver abscess
- MeSH: Cecal Diseases/complications/*diagnosis/surgery; Colonoscopy; Female; Humans; Laparoscopy; Liver/pathology; Liver Abscess, Pyogenic/*diagnosis/etiology; Middle Aged; Tomography, X-Ray Computed; Ulcer/complications/*diagnosis/surgery
- From:The Korean Journal of Gastroenterology 2016;67(1):44-48
- CountryRepublic of Korea
- Language:English
- Abstract: 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.