1.Multiple Pyogenic Liver Abscesses Caused by Microperforation of an Idiopathic Cecal Ulcer.
Dong Han YEOM ; Ki Chang SOHN ; Min Su CHU ; Dong Ho JO ; Eun Young CHO ; Haak Cheoul KIM
The Korean Journal of Gastroenterology 2016;67(1):44-48
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.
Cecal Diseases/complications/*diagnosis/surgery
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Colonoscopy
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Female
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Humans
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Laparoscopy
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Liver/pathology
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Liver Abscess, Pyogenic/*diagnosis/etiology
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Middle Aged
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Tomography, X-Ray Computed
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Ulcer/complications/*diagnosis/surgery
2.Cholangiocarcinoma with a paraneoplastic leukemoid reaction mimicking a pyogenic liver abscess.
Hyoju HAM ; Hee Yeon KIM ; Kyung Jin SEO ; Su Lim LEE ; Chang Wook KIM
The Korean Journal of Internal Medicine 2015;30(1):110-113
No abstract available.
Bile Duct Neoplasms/complications/*diagnosis
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*Bile Ducts, Intrahepatic/chemistry/pathology/radiography
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Biopsy
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Cholangiocarcinoma/complications/*diagnosis
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Diagnosis, Differential
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Fever/diagnosis/*etiology
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Humans
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Immunohistochemistry
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Leukocytosis/*diagnosis/etiology
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*Liver/chemistry/pathology/radiography
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Liver Abscess, Pyogenic/*diagnosis
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Paraneoplastic Syndromes/*diagnosis/etiology
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Predictive Value of Tests
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Tomography, Spiral Computed
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Tumor Markers, Biological/analysis