Perforated jejunal diverticulum with multiple hepatic abscesses.
We have described a patient with multiple hepatic abscesses caused by a perforated jejunal diverticulum with a presumed route of infection via the portal vein. Patients with hepatic abscesses and no known source of infection should be evaluated for a contained mesenteric perforation of the gastrointestinal tract. Finally, in patients who fail to respond promptly to percutaneous catheter drainage of a liver abscess, a continuing source of infection, such as perforation of a jejunal diverticulum, should be suspected.
Hoover
E L
EL
Department of Surgery, Meharry Medical College, Nashville, Tenn. 37208.
Webb
H
H
Walker
C
C
Weaver
W L
WL
D000368:Aged; D004240:Diverticulum / Q000150:complications* / Q000473:pathology; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000209:etiology*; D007579:Jejunal Diseases / Q000150:complications* / Q000209:etiology / Q000473:pathology; D007710:Klebsiella Infections / Q000209:etiology; D008100:Liver Abscess / Q000209:etiology* / Q000382:microbiology; D008297:Male; D010462:Peptostreptococcus / Q000302:isolation & purification