title: [Sonographic diagnosis of a liver abscess caused by an enterohepatic fistula in a patient with Crohn's disease].
abstract: Liver abscesses in patients with Crohn's disease are rare. We report on a patient with Crohn's disease and a liver abscess of the left lobe caused by an enterohepatic fistula. With treatment of antibiotics and Infliximab the abscess showed complete regression. Percutaneous drainage of the liver abscess was not performed because the abscess was shown not to be completely liquefied at echo-enhanced ultrasound. This case report demonstrates the usefulness of percutaneous conventional and echo-enhanced ultrasound for the diagnosis of liver abscesses. Furthermore, this case also shows that enterohepatic fistulas can be diagnosed precisely with percutaneous ultrasound.
authors.affiliation: Klinik für Gastroenterologie, Hepatologie und Infektiologie der Otto-von-Guericke-Universität Magdeburg, Germany. steffen.rickes@medizin.uni-magdeburg.de
authors.forename: S
authors.initials: S
authors.lastname: Rickes
authors.forename: U
authors.initials: U
authors.lastname: von Arnim
authors.forename: U
authors.initials: U
authors.lastname: Peitz
authors.forename: M
authors.initials: M
authors.lastname: Ebert
authors.forename: K
authors.initials: K
authors.lastname: Mönkemüller
authors.forename: P
authors.initials: P
authors.lastname: Malfertheiner
mesh_terms: D000328:Adult; D003424:Crohn Disease / Q000000981:diagnostic imaging*; D016154:Digestive System Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging* / Q000209:etiology; D046290:Liver Abscess, Pyogenic / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D014463:Ultrasonography