Liver Microabscesses in a Premature Neonate With Eosinophilic Colitis
Hepatic abscesses in premature infants are rare with less than 100 case reports documented in literature. We report a case of a premature infant diagnosed with hepatic microabscesses secondary to eosinophilic colitis. A 33 4/7-week preterm female neonate presented with bilious emesis, abdominal dist...
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| Published in | ACG case reports journal Vol. 9; no. 7; p. e00817 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Maryland, MD
Wolters Kluwer
01.07.2022
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| Subjects | |
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| Abstract | Hepatic abscesses in premature infants are rare with less than 100 case reports documented in literature. We report a case of a premature infant diagnosed with hepatic microabscesses secondary to eosinophilic colitis. A 33 4/7-week preterm female neonate presented with bilious emesis, abdominal distention, and severe hematochezia. Eosinophilic enterocolitis was suspected. Hypoechoic regions in the anterior liver identified on computed tomography were considered liver microabscesses. This unique case exemplifies how prematurity increases the risk of mucosal damage in the presence of eosinophilic colitis causing enteric bacteria to seed into the liver through the portal vein, resulting in hepatic microabscesses. |
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| AbstractList | Hepatic abscesses in premature infants are rare with less than 100 case reports documented in literature. We report a case of a premature infant diagnosed with hepatic microabscesses secondary to eosinophilic colitis. A 33 4/7-week preterm female neonate presented with bilious emesis, abdominal distention, and severe hematochezia. Eosinophilic enterocolitis was suspected. Hypoechoic regions in the anterior liver identified on computed tomography were considered liver microabscesses. This unique case exemplifies how prematurity increases the risk of mucosal damage in the presence of eosinophilic colitis causing enteric bacteria to seed into the liver through the portal vein, resulting in hepatic microabscesses. |
| Author | Parks, Olivia B. Mahmood, Burhan Venkat, Veena L. Keith, Mary Squires, Judy H. |
| AuthorAffiliation | University of Pittsburgh School of Medicine, Department of Radiology, Pittsburgh, PA Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA Division of Newborn Medicine, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA Medical Scientist Training Program, University of Pittsburgh School of Medicine, Pittsburgh, PA |
| AuthorAffiliation_xml | – name: Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA – name: University of Pittsburgh School of Medicine, Department of Radiology, Pittsburgh, PA – name: Division of Newborn Medicine, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA – name: Medical Scientist Training Program, University of Pittsburgh School of Medicine, Pittsburgh, PA |
| Author_xml | – sequence: 1 givenname: Olivia B. surname: Parks fullname: Parks, Olivia B. organization: Medical Scientist Training Program, University of Pittsburgh School of Medicine, Pittsburgh, PA – sequence: 2 givenname: Mary surname: Keith fullname: Keith, Mary organization: Division of Newborn Medicine, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA – sequence: 3 givenname: Judy H. surname: Squires fullname: Squires, Judy H. organization: University of Pittsburgh School of Medicine, Department of Radiology, Pittsburgh, PA – sequence: 4 givenname: Veena L. surname: Venkat fullname: Venkat, Veena L. organization: Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA – sequence: 5 givenname: Burhan surname: Mahmood fullname: Mahmood, Burhan organization: Division of Newborn Medicine, Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA |
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| Cites_doi | 10.1093/tropej/fmv103 10.1177/1756283X10392443 10.47338/jns.v2.35 10.1111/ped.12577 10.1016/j.jaci.2003.10.047 10.3748/wjg.15.2975 10.1186/s13256-017-1318-z |
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| Copyright | Wolters Kluwer 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. 2022 |
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| References | Alfadda (R4-20240806) 2011; 4 Tanaka (R6-20240806) 2015; 57 Debuf (R5-20240806) 2017; 11 Semerci (R7-20240806) 2016; 62 Rothenberg (R3-20240806) 2004; 113 Okpara (R2-20240806) 2009; 15 Bosnali (R8-20240806) 2013; 2 Kaijser (R1-20240806) 1937; 188 |
| References_xml | – volume: 62 start-page: 255 issue: 3 year: 2016 ident: R7-20240806 article-title: Hepatic abscesses in preterm infants: Report of three cases and review of the literature publication-title: J Trop Pediatr doi: 10.1093/tropej/fmv103 contributor: fullname: Semerci – volume: 4 start-page: 301 issue: 5 year: 2011 ident: R4-20240806 article-title: Eosinophilic colitis: Epidemiology, clinical features, and current management publication-title: Therap Adv Gastroenterol doi: 10.1177/1756283X10392443 contributor: fullname: Alfadda – volume: 188 start-page: 36 year: 1937 ident: R1-20240806 article-title: Zur Kenntnis der allergischen affekitonen des verdauungskanals vom standput des chirugen aus publication-title: Arch Klin Chir contributor: fullname: Kaijser – volume: 2 start-page: 23 issue: 2 year: 2013 ident: R8-20240806 article-title: Liver abscess: Increasing occurrence in premature newborns publication-title: J Neonatal Surg doi: 10.47338/jns.v2.35 contributor: fullname: Bosnali – volume: 57 start-page: 734 issue: 4 year: 2015 ident: R6-20240806 article-title: Suspected fetal onset of neonatal transient eosinophilic colitis and development of respiratory distress publication-title: Pediatr Int doi: 10.1111/ped.12577 contributor: fullname: Tanaka – volume: 113 start-page: 11 issue: 1 year: 2004 ident: R3-20240806 article-title: Eosinophilic gastrointestinal disorders (EGID) publication-title: J Allergy Clin Immunol doi: 10.1016/j.jaci.2003.10.047 contributor: fullname: Rothenberg – volume: 15 start-page: 2975 issue: 24 year: 2009 ident: R2-20240806 article-title: Eosinophilic colitis publication-title: World J Gastroenterol doi: 10.3748/wjg.15.2975 contributor: fullname: Okpara – volume: 11 start-page: 160 issue: 1 year: 2017 ident: R5-20240806 article-title: Hematochezia caused by eosinophilic proctocolitis in a newborn before oral feeding: A case report publication-title: J Med Case Rep doi: 10.1186/s13256-017-1318-z contributor: fullname: Debuf |
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| Title | Liver Microabscesses in a Premature Neonate With Eosinophilic Colitis |
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