[Liver abscess and Crohn' disease. Report of 3 cases].
Liver abscess is a rare complication of Crohn's disease. Its prevalence and mortality are higher in patients with Crohn's disease than in the general population. Owing to its nonspecific clinical presentation, which may be mistaken for reactivation of Crohn's disease or be masked by simultaneous steroid therapy, a high index of suspicion is required for an early diagnosis and prompt treatment. We report 3 cases of Crohn's disease complicated with liver abscess in which the only common features were the absence of clinical or even endoscopic activity of Crohn's disease at diagnosis and the presence of an anastomotic leak due to right ileocolectomy in the previous year. In all patients, outcome was satisfactory with antibiotic therapy and percutaneous catheter drainage.
Molina Infante
J
J
Servicio de Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid, Spain. xavi_molina@hotmail.com
Bañares Cañizares
R
R
Gómez Camarero
J
J
Pérez Calle
J L
JL
D000328:Adult; D016866:Bacteroidaceae Infections / Q000209:etiology*; D003424:Crohn Disease / Q000150:complications*; D004927:Escherichia coli Infections / Q000209:etiology*; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D018720:Prevotella; D013290:Streptococcal Infections / Q000209:etiology*; D034363:Viridans Streptococci