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Gas within the liver and polymicrobial bacteraemia due to colovenous fistula: two cases in one month
Kristoffer Strålin1, Rickard Lindgren, Christina Birgersson
1Department of Infectious Diseases, Orebro University Hospital, SE-70185, Orebro, Sweden. kristoffer.stralin@orebroll.se
Abstract:
Two cases presented at our hospital within 1 month with polymicrobial bacteraemia and gas within the liver shown on CT scan. Both transpired to have colovenous fistula due to diverticulitis. Because of our awareness of the first case, the colovenous fistula of the second case was identified rapidly. As surgical treatment is probably essential for this condition, the possibility of colovenous fistula should be borne in mind in patients with gas within the liver, especially if they have bacteraemia.
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