Miliary abscess of the liver: unusual complication of intestinal perforation
| Autor: | Raouf Fayisall Geraldo, Kokou Kouliwa Kanassoua, Fousseni Alassani, David Ekoue Dosseh, Biréga Koutora, Abossisso Sakiye, B. Tchangai, Efoé-Ga Yawod Olivier Amouzou |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Ileal Perforation AcademicSubjects/MED00910 business.industry medicine.medical_treatment Perforation (oil well) abscess Peritonitis Case Report liver medicine.disease immunocompetent miliary Surgery Liver disease Ileostomy Togo medicine jscrep/0160 Complication Abscess business Immunodeficiency |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | Miliary abscess of the liver represents a rare presentation of multiple liver abscesses. They often occur in immunosuppressed patients, or those with underlying liver disease. We report the case of a 22-year-old patient, without known immunodeficiency factors, surgical history or notion of tuberculous contacts, who was admitted for generalized peritonitis and ileal perforation. An ileostomy was performed. The infectious syndrome persisted in post-operative period, associated with painful hepatomegaly. An contrast-enhanced abdominal CT scan led to the diagnosis of miliary abscess of the liver. A blood culture isolated Escherichia coli. The treatment included antibiotics and the clinical evolution was favorable. The follow-up abdominal CT scan was normal. Intestinal continuity was restored without complications. Miliary abscess of the liver is rare and requires rapid diagnosis. The treatment is based on antibiotic therapy. |
| Databáze: | OpenAIRE |
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