title: Multiple Pyogenic Liver Abscesses Caused by Microperforation of an Idiopathic Cecal Ulcer.
abstract: Idiopathic cecal ulcer is a rare disease entity of unknown cause diagnosed by ruling out other known causes of cecal ulceration. The most common complication of an idiopathic cecal ulcer is bleeding; perforation, peritonitis, abscess, and stricture formation have been noted. The authors treated a 53-year-old woman who presented with fever and intermittent right upper quadrant abdominal pain. Multiple pyogenic liver abscess and a solitary cecal ulcer were diagnosed by radiologic, endoscopic, and pathologic examination, followed by laparoscopic cecectomy. After extensive study, we concluded that this patient's liver abscesses were a complication of the idiopathic cecal ulcer. Herein, we report a case of multiple pyogenic liver abscess caused by microperforation of idiopathic cecal ulcer.
authors.affiliation: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors.forename: Dong Han
authors.initials: DH
authors.lastname: Yeom
authors.affiliation: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors.forename: Ki Chang
authors.initials: KC
authors.lastname: Sohn
authors.affiliation: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors.forename: Min Su
authors.initials: MS
authors.lastname: Chu
authors.affiliation: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors.forename: Dong Ho
authors.initials: DH
authors.lastname: Jo
authors.affiliation: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Cho
authors.affiliation: Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Korea.
authors.forename: Haak Cheoul
authors.initials: HC
authors.lastname: Kim
mesh_terms: D002429:Cecal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003113:Colonoscopy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008099:Liver / Q000473:pathology; D046290:Liver Abscess, Pyogenic / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014456:Ulcer / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
keywords: Idiopathic cecal ulcer; Liver abscess