1.Combined Hepatic and Splenic Abscesses in a Patient with Ulcerative Colitis.
Jeong Seon JI ; Hyung Keun KIM ; Sung Soo KIM ; Young Seok CHO ; Hiun Suk CHAE ; Chang Wook KIM ; Bo In LEE ; Hwang CHOI ; Byung Wook KIM ; Kyu Yong CHOI
Journal of Korean Medical Science 2007;22(4):750-753
Liver abscesses are very rare complications of ulcerative colitis, and furthermore, there has been only one case of splenic abscess in a patient with ulcerative colitis reported in the English literature. We recently encountered a patient with ulcerative colitis accompanied by both hepatic and splenic abscesses. The patient was treated with abscess drainage as well as sulfasalazine and antibiotics. Follow-up sonography of the abdomen showed complete resolution of the lesions. To our knowledge, this is the first report of combined case of multiple liver abscesses combined with splenic abscess in a patient with ulcerative colitis.
Abdominal Abscess/complications/*pathology
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Adolescent
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Colitis, Ulcerative/complications/*pathology
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Female
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Humans
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Liver Abscess/complications/*pathology
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Splenic Diseases/complications/*pathology
2.A Case of Primary Adenosquamous Carcinoma of the Liver Presented with Liver Abscess.
Oh Sang KWON ; Hong Sik LEE ; Dong Wook KOH ; Young Jig CHO ; Yeon Ho PARK ; Dong Kyu PARK ; Yong Leul OH ; Jae Hong SEO ; Hoon Jai CHUN ; Sun Ho UM ; Sang Woo LEE ; Jai Hyun CHOI ; Chang Duck KIM ; Ho Sang RYU ; Jin Hai HYUN ; Ae Ree KIM ; Yong Sik KIM
The Korean Journal of Internal Medicine 2001;16(4):270-273
Primary adenosquamous carcinoma of the liver is a very rare type of cholangiocarcinoma and is defined as a cancer containing both squamous and adenomatous components in the same lesion. Recently, we experienced a primary adenosquamous carcinoma of the liver presented as liver abscess. A 63-year-old man was presented with a 4-day history of fever and chill. The radiologic study showed a 4 cm-sized, central hypoattenuated mass with peripheral rim enhancement in the left lobe of the liver. Ultrasonography-guided aspiration and biopsy suggested an adenocarcinoma with abscess in the liver. At laparotomy, the tumor occupied the left lobe of the liver and invaded the right diaphragm. An extended left lobectomy and a partial excision of the involved diaphragm were done. Grossly, the tumor was 6x5x5 cm in size and had an eccentric necrosis. Microscopically, the tumor was composed of adenocarcinoma and squamous cell carcinoma with a transitional area.
Carcinoma, Adenosquamous/*complications/pathology/surgery
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Case Report
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Human
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Liver Abscess/*etiology
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Liver Neoplasms/*complications/pathology/surgery
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Male
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Middle Age
3.A Case of Hepatocellular Carcinoma Combined with Liver Abscess.
Ju Ok YEOM ; Seung Bae YOON ; Jae Gyung KIM ; Jung Hwan OH ; Eun Jung JEON ; Jeong Jo JEONG ; Sang Wook CHOI ; Seong LEE
The Korean Journal of Gastroenterology 2009;53(6):378-382
Hepatocellular calcinoma (HCC) is the fifth most common cancer and the third leading cause of cancer-related deaths worldwide. It is important to diagnose HCC exactly before management is attempted. But, the clinical presentations and radiologic findings of liver abscess, HCC, and metastatic tumor to the liver may be quite similar, and procedures such as serum tumor marker assay, computerized tomography, and ultrasonography of the liver cannot make a specific diagnosis. We report a case of HCC successfully diagnosed by surgery which was misconceived as liver abscess and not improved by medical treatment.
Carcinoma, Hepatocellular/complications/*diagnosis/pathology
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Humans
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Liver/ultrasonography
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Liver Abscess/complications/*diagnosis/pathology
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Liver Neoplasms/complications/*diagnosis/pathology
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Male
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Middle Aged
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Tomography, X-Ray Computed
4.A Case of Neck Abscess Caused by Salmonella Serotype D in a Patient with Liver Cirrhosis.
Mee Hye KWON ; Mi Il KANG ; Ji Young CHUN ; Hyun Woo LIM ; Yoon Sik YEUM ; Young Woo KANG ; Young Jin KIM ; Young Keun KIM
Yonsei Medical Journal 2010;51(1):128-130
Non-typhoidal salmonellosis, which is increasing nowadays in Korea as well as in the developed countries, is manifested as enteritis in most cases, but it also encompasses bacteremia, intraabdominal infections, and bone, joint and soft tissue infections. These rare diseases are known to result from primary gastrointestinal infection and subsequent bacteremia with or without symptoms. We experienced a case of neck abscess caused by Salmonella serotype D, which is a rare but important differential diagnosis of neck abscess. We herein report it.
Abscess/*diagnosis/*microbiology
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Aged
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Female
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Humans
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*Liver Cirrhosis
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Neck/*microbiology/*pathology
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Salmonella/*physiology
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Salmonella Infections/*complications
5.A Case of Liver Abscess with Subcapsular Hematoma Mimicking Ruptured Hepatic Cholangiocarcinoma.
Chung Ho KIM ; Ji Hoon KIM ; Hyun Jung LEE ; Young Sun LEE ; Jong Hwan CHOI ; Young Kul JUNG ; Jong Eun YEON ; Kwan Soo BYUN
The Korean Journal of Gastroenterology 2009;53(3):202-205
Subcapsular hematoma is a very rare complication of liver abscess. We report a case of liver abscess with subcapsular hematoma mimicking ruptured hepatic cholangiocarcinoma. A 59-year old man presented with right upper quadrant pain and febrile sense. Computed tomography showed a low attenuated mass with extensive subcapsular hematoma on the right hepatic lobe. The initial impression was a hematoma caused by the rupture of cholangiocarcinoma. Hepatic arteriography was performed, but no active bleeding focus was found. After drainage of the subcapsular hematoma, a hematoma wall biopsy through the drainage catheter and a liver biopsy of the low attenuated mass were performed. The biopsies showed many neutrophils, macrophages, and granulation tissues consistent with an abscess, but no malignant cells were detected. After antibiotics therapy for 6 weeks, computed tomography was performed 4 months later, and revealed complete resolution of the hematoma and the low attenuated hepatic lesion.
Angiography
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Anti-Bacterial Agents/therapeutic use
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Cholangiocarcinoma/diagnosis
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Hematoma/complications/*diagnosis/pathology
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Humans
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Liver Abscess/complications/*diagnosis/pathology
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Liver Diseases/complications/*diagnosis/pathology
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Liver Function Tests
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Male
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Middle Aged
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Tomography, X-Ray Computed
6.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
7.Hepatic abscess mimicking hepatocellular carcinoma in a patient with alcoholic liver disease.
Jin Woong KIM ; Sang Soo SHIN ; Suk Hee HEO ; Hyo Soon LIM ; Young Hoe HUR ; Jo Heon KIM
Clinical and Molecular Hepatology 2013;19(4):431-434
No abstract available.
Aged
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Antigens, Tumor-Associated, Carbohydrate/blood
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Carcinoma, Hepatocellular/radiography
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Humans
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Liver Abscess/*complications/pathology/*radiography
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Liver Diseases, Alcoholic/*complications/*pathology
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Liver Neoplasms/radiography
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Magnetic Resonance Imaging
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Male
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Tomography, X-Ray Computed
8.A case of primary hepatic actinomycosis: an enigmatic inflammatory lesion of the liver.
Yeon Jung HA ; Ji Hyun AN ; Ju Hyun SHIM ; Eun Sil YU ; Jong Jae KIM ; Tae Yong HA ; Han Chu LEE
Clinical and Molecular Hepatology 2015;21(1):80-84
Primary hepatic actinomycosis is one of the chronic abscess-forming infections of the liver. Accurate diagnosis is frequently delayed due to its indolent course and nonspecific clinical and radiological manifestations. We report a case of a 57-year-old man presenting with asymptomatic multiple hepatic masses on follow-up abdominal computed tomography performed 1 year after stomach cancer surgery. Although a percutaneous liver biopsy procedure was conducted twice in order to obtain confirmative pathology, only a nonspecific organizing abscess with plasma cell infiltration was revealed, without identification of any organism in the tissue cultures. Ultimately, actinomycosis was diagnosed following the detection of sulfur granules on open surgical biopsied tissue. This case suggests that primary hepatic actinomycosis should be considered as one of the possible causes for enigmatic inflammatory lesions of the liver.
Actinomycosis/*diagnosis/drug therapy/microbiology
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Anti-Bacterial Agents/therapeutic use
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Biopsy, Needle
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Humans
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Liver Abscess/complications
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Liver Diseases/*diagnosis/microbiology/pathology
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Male
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Middle Aged
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Tomography, X-Ray Computed
9.Fatal Biliary-Systemic Air Embolism during Endoscopic Retrograde Cholangiopancreatography: A Case with Multifocal Liver Abscesses and Choledochoduodenostomy.
Sung Tae CHA ; Chang Il KWON ; Han Gyung SEON ; Kwang Hyun KO ; Sung Pyo HONG ; Seong Gyu HWANG ; Pil Won PARK ; Kyu Sung RIM
Yonsei Medical Journal 2010;51(2):287-290
We report a rare case of a massive fatal embolism that occurred in the middle of endoscopic retrograde cholangiopancreatography (ERCP) and retrospectively examine the significant causes of the event. The patient was a 50-year old female with an uncertain history of previous abdominal surgery for multiple biliary stones 20 years prior. The patient presented with acute right upper quadrant pain. An abdominal computed tomographic (CT) scan revealed the presence of multiple stones in the common bile duct (CBD) and intra-hepatic duct (IHD) with biliary obstruction, multifocal liver abscesses, and air-biliarygram. Emergency ERCP showed a wide and straight opening of choledochoduodenostomy, which may have been created during a previous surgery, and multiple filling defects in the CBD. With the use of a forward endoscope, mud stones were extracted through the opening of the choledochoduodenostomy. Cardiac arrest suddenly developed during the procedure, and despite immediate resuscitation, the patient died due to a massive systemic air embolism. We reviewed previously reported fatal cases and accessed factors facilitating air embolisms in this case.
Cholangiopancreatography, Endoscopic Retrograde/*methods
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Choledochostomy/*methods
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Common Bile Duct/radiography
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Embolism, Air/*complications
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Fatal Outcome
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Female
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Humans
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Liver Abscess/pathology
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Middle Aged
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Tomography, X-Ray Computed
10.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