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Case Report

Recurred Cryptogenic Liver Abscess Secondary to Colon Cancer in a Non-diabetic Man

Seung-Jung Jun, Tae-Hun Kim, Min-sun Ryu, Da-Yeon Oh, Myung-Eun Song, Shina Lee, Jae-In Ryu, Hye-In Kim, Il-Hwan Moon, Kwon Yoo
The Ewha Medical Journal 2011;34(2):60-63. Published online: September 30, 2011

Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author (thkim@ewha.ac.kr)

Copyright © 2011. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • The causes of pyogenic liver abscess has been known as biliary tract disease or intrabadominal infection but the large proportions of the patients has no apparent underlying disorders. Recently colonic mucosal lesions were reported in patients with cryptogenic liver abscess and it has been suggested that colonic mucosal break may play a role in developing liver abscess in otherwise healthy patients. We experienced a patient of severe recurrent liver abscess complicated with endophthalmitis only 3 months after successful treatment of initial cryptogenic liver abscess and a polypoid colon cancer was discovered by chance. It seems prudent to proceed colonoscopic examination in patients with cryptogenic liver abscess especially when it is recurrent.
  • Keywords: Liver abscess; Recurrence; Colon cancer; Klebsiella pneumoniae
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Fig. 1
Abdominal CT findings. (A) There are organized abscess in S8 after the first optimal treatment of liver abscess. (B) Newly appeared liver abscess in S7 is noted only after 3 month.
emj-34-60-g001.jpg
Fig. 2
Gross finding of colon polyp. About 2.4 cm sized polyp of sigmoid colon was noted in colonoscopy. Polypectomy was done after snaring the stalk. The mass revealed adenocarcinoma with invasion into submucosa.
emj-34-60-g002.jpg

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      Recurred Cryptogenic Liver Abscess Secondary to Colon Cancer in a Non-diabetic Man
      Ewha Med J. 2011;34(2):60-63.   Published online September 30, 2011
      DOI: https://doi.org/10.12771/emj.2011.34.2.60
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      Recurred Cryptogenic Liver Abscess Secondary to Colon Cancer in a Non-diabetic Man
      Ewha Med J. 2011;34(2):60-63.   Published online September 30, 2011
      DOI: https://doi.org/10.12771/emj.2011.34.2.60
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      Recurred Cryptogenic Liver Abscess Secondary to Colon Cancer in a Non-diabetic Man
      Image Image
      Fig. 1 Abdominal CT findings. (A) There are organized abscess in S8 after the first optimal treatment of liver abscess. (B) Newly appeared liver abscess in S7 is noted only after 3 month.
      Fig. 2 Gross finding of colon polyp. About 2.4 cm sized polyp of sigmoid colon was noted in colonoscopy. Polypectomy was done after snaring the stalk. The mass revealed adenocarcinoma with invasion into submucosa.

      Fig. 1

      Fig. 2

      Recurred Cryptogenic Liver Abscess Secondary to Colon Cancer in a Non-diabetic Man
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