Anaerobic liver abscesses as initial presentation of silent colonic cancer

Rarely, multiple liver abscesses caused by anaerobic organisms are the presenting form of unsuspected colonic cancer in the absence of liver metastases. A 68‐year‐old man was admitted with abdominal pain, fever and chills. Imaging scans and repeated cytology yielded a diagnosis of multiple liver abs...

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Bibliographic Details
Published inHPB (Oxford, England) Vol. 6; no. 1; pp. 41 - 42
Main Authors Álvarez, J.A., Baldonedo, R.F., Bear, I.G., Álvarez, P., Jorge, J.I.
Format Journal Article
LanguageEnglish
Published Oxford, UK Elsevier Ltd 2004
Blackwell Publishing Ltd
Subjects
anaerobic liver abscess
Case Report
colon cancer
multiple liver abscesses
pyogenic liver abscess
multiple liver abscesses
pyogenic liver abscess
colon cancer
anaerobic liver abscess
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Summary:Rarely, multiple liver abscesses caused by anaerobic organisms are the presenting form of unsuspected colonic cancer in the absence of liver metastases. A 68‐year‐old man was admitted with abdominal pain, fever and chills. Imaging scans and repeated cytology yielded a diagnosis of multiple liver abscesses. Pus cultures grew Peptostreptococcus anaerobius, Bacteroides melaninogenicus and Peptostreptococcus spp. A search for the underlying cause led to the discovery of an adenocarcinoma of the sigmoid colon. After a 12‐month postoperative follow‐up, the patient is free of hepatic metastases. Anaerobic liver abscesses should always alert the clinician to possible silent colonic carcinoma.
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ISSN:1365-182X
1477-2574
DOI:10.1080/13651820310015798