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Liver abscess in Crohn's disease: a report of three cases
David Hazzan1, Eric Fishman, Elliot Heller
1Departments of Surgery, Mount Sinai School of Medicine, New York, NY, USA.
Insights
Liver abscess is a rare Crohn's disease complication. Patients with Crohn's disease and liver abscess often require drainage, as medical management alone is insufficient for treatment.
Area of Science:
- Gastroenterology
- Hepatology
Background:
- Crohn's disease is a chronic inflammatory condition.
- Liver abscess is an uncommon but serious complication.
Observation:
- Three case reports of liver abscess in Crohn's disease patients were reviewed.
- Literature review on liver abscess in Crohn's disease was conducted.
Findings:
- The incidence of liver abscess is elevated in Crohn's disease patients.
- Medical management alone is frequently ineffective for these abscesses.
Implications:
- Liver abscess should be considered in the differential diagnosis of Crohn's disease complications.
- Surgical or percutaneous drainage is often necessary for effective treatment.
Abstract:
Liver abscess is a rare complication of Crohn's disease and must be considered part of the differential diagnosis. We present three case reports and a review of the literature. The incidence of liver abscess is higher in patients with Crohn's disease than in the general population. Since Crohn's disease patients who present with a liver abscess generally do not respond to medical management alone, surgical or percutaneous drainage of the abscess is necessary.
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