A rare case of <i>Fusobacterium</i> hepatic abscess due to sigmoid colon diverticulum perforation and its peripheral abscess formation

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  • Higashi Sena
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Tanaka Satoshi
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Tsumuro Hiroshi
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Nishimura Yuko
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Kawamoto Yasuharu
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Bessho Hiroki
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Ishihara Akio
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Hasegawa Hiroko
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Yamamoto Shunsuke
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Akasaka Tomofumi
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Sakakibara Yuko
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Nakazuru Shoichi
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Ishida Hisashi
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital
  • Mita Eiji
    Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital

Bibliographic Information

Other Title
  • S状結腸憩室穿孔が周囲膿瘍形成を来し，<i>Fusobacterium</i>肝膿瘍を合併した1例
  • S状結腸憩室穿孔が周囲膿瘍形成を来し,Fusobacterium肝膿瘍を合併した1例
  • Sジョウ ケッチョウ ケイシツセンコウ ガ シュウイ ノウヨウケイセイ オ キタシ,Fusobacterium カン ノウヨウ オ ガッペイ シタ 1レイ

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Abstract

<p>A 39-year-old man visited a doctor for fever and right-side abdominal pain. An upper abdominal CT scan showed a low-absorption area of 55 mm in the liver, and the patient was referred to our hospital for further investigation and treatment. After close examination, the patient was diagnosed with liver abscess and antimicrobial therapy was started. On the second day, liver abscess puncture drainage was performed, and Streptococcus intermedius and Fusobacterium species were detected in the culture of the pus. Abdominal contrast-enhanced CT imaging for evaluation of treatment efficacy showed abscess formation around the sigmoid colon diverticulum. Laparoscopic partial sigmoid colon resection was performed and mesenteric abscess formation due to the sigmoid diverticulum perforation was observed. We report a rare case of Fusobacterium hepatic abscess due to perforation of the sigmoid colon diverticulum and its peripheral abscess formation.</p>

Journal

  • Kanzo

    Kanzo 62 (6), 363-371, 2021-06-01

    The Japan Society of Hepatology

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