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Case report
​Treating pyogenic liver abscesses secondary to diverticulitis in a patient using immunosuppressants for Crohn’s disease by performing a sigmoid colectomy
  1. Marin Pielage1,
  2. Sanne Vogels1,
  3. Rigo Hoencamp1,2,3,4 and
  4. Jephta van den Bremer1
  1. 1 Department of Surgery, Alrijne Hospital Leiderdorp, Leiderdorp, The Netherlands
  2. 2 Defense Healthcare Organization, Ministry of Defense, Utrecht, The Netherlands
  3. 3 Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands
  4. 4 Department of Trauma Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
  1. Correspondence to Mr Rigo Hoencamp; rhoencamp{at}alrijne.nl

Abstract

Pyogenic liver abscess (PLA) formation is a rare complication of Crohn’s disease (CD). As symptoms often mimic a CD exacerbation, diagnosis can be delayed leading to severe disease. The current case report describes a case of a patient with a history of CD that was admitted with multiple PLAs, which persisted despite percutaneous drainage combined with antibiotics. After a sigmoid resection, the liver abscesses diminished rapidly.

  • Crohn's disease
  • gastrointestinal surgery
  • gastroenterology
  • infection (gastroenterology)
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Footnotes

  • MP and SV are joint first authors.

  • Contributors MP and SV contributed equally to this paper, by being responsible for all data collection, reporting these findings and the literature review, and editing/revising all versions. RH contributed by planning all deadlines, edit the work of MP and SV and support submission in the current platform. JB contributed by being closely involved with the treatment of the patient, edit the work of MP and SV and taking the overall leading role.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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