Gas within the liver and polymicrobial bacteraemia due to colovenous fistula: two cases in one month.
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.
Strålin
Kristoffer
K
Department of Infectious Diseases, Orebro University Hospital, SE-70185, Orebro, Sweden. kristoffer.stralin@orebroll.se
Lindgren
Rickard
R
Birgersson
Christina
C
Vikerfors
Tomas
T
D016470:Bacteremia / Q000209:etiology* / Q000382:microbiology*; D004238:Diverticulitis / Q000150:complications; D005260:Female; D005740:Gases / Q000032:analysis*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000473:pathology; D008099:Liver / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged
D005740:Gases