title: [Submucosal bacterial abscesses of the ascending colon and liver associated with portal and superior mesenteric vein thrombosis due to Enterococcus faecalis infection: a case report].
abstract: A 72-year-old woman with diabetes mellitus was admitted with fever and general fatigue. Blood biochemistry showed elevated hepatic and biliary enzyme levels, abdominal computed tomography showed multiple liver abscesses with portal and superior mesenteric vein thrombosis, and total colonoscopy revealed a submucosal bacterial abscess in the ascending colon. The abscesses were determined to be associated with Enterococcus faecalis infection. The patient was treated conservatively with antibiotics (meropenem) and anticoagulants (warfarin), which led to a gradual amelioration of symptoms and resolution of thrombosis.
authors.affiliation: Department of Internal Medicine, Nagasaki Saiseikai Hospital.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Norimura
authors.forename: Fuminao
authors.initials: F
authors.lastname: Takeshima
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Satou
authors.forename: Tohru
authors.initials: T
authors.lastname: Nakagoe
authors.forename: Ken
authors.initials: K
authors.lastname: Ohnita
authors.forename: Hajime
authors.initials: H
authors.lastname: Isomoto
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Nakao
mesh_terms: D000368:Aged; D003108:Colonic Diseases / Q000209:etiology*; D013293:Enterococcus faecalis; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications*; D006801:Humans; D008100:Liver Abscess / Q000209:etiology*; D008642:Mesenteric Veins; D011169:Portal Vein; D013927:Thrombosis / Q000209:etiology*