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Two large liver abscesses complicating Crohn's disease.
G Kreuzpaintner1, W U Schmidt, T B West
1Bernhard-Nocht-Institut für Tropenmedizin, Hamburg.
A rare complication of Crohn's disease, liver abscesses, were successfully treated in a young woman using antibiotics and percutaneous drainage. This case highlights effective management for inflammatory bowel disease complications.
Area of Science:
- Gastroenterology
- Hepatology
- Interventional Radiology
Background:
- Crohn's disease (CD) is a chronic inflammatory bowel disease.
- Complications of CD can involve intra-abdominal abscesses.
- Liver abscesses are an uncommon but serious manifestation of CD.
Observation:
- A 20-year-old woman with active Crohn's disease presented with fever and elevated liver enzymes.
- Past history included ileocecal resection and treatment for a retroperitoneal perforation.
- Abdominal sonography revealed two large liver abscesses.
Findings:
- The patient received antibiotic therapy.
- Ultrasound-guided percutaneous drainage of both liver abscesses was performed using pigtail catheters.
- This intervention led to rapid abscess size reduction and clinical improvement.
Implications:
- Liver abscesses are a rare but significant complication of Crohn's disease.
- Multidisciplinary management involving antibiotics and interventional drainage is effective.
- This case underscores the importance of considering liver abscesses in Crohn's disease patients with relevant symptoms.
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