title: Spontaneous fistulisation and drainage of a pyogenic liver abscess into the stomach in an adult patient with sickle cell disease.
abstract: Spontaneous endoluminal drainage of a pyogenic liver abscess is a rare phenomenon. Similarly, there are only a few cases in the English literature describing hepatic abscesses as an unusual complication of sickle cell anaemia. Having these two phenomena occurring in the same patient is truly a rarity. We describe a case of a 45-year-old man with homozygous sickle cell anaemia who presented to our institution with a pyogenic liver abscess. He had spontaneous drainage of the abscess after spontaneous fistulisation, with the stomach obviating the need for percutaneous drainage.
authors.affiliation: Department of General Surgery, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago.
authors.forename: Shariful
authors.initials: S
authors.lastname: Islam
authors.affiliation: Department of General Surgery, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago.
authors.forename: Devin
authors.initials: D
authors.lastname: Hosein
authors.affiliation: Department of General Surgery, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago.
authors.forename: Vinoo
authors.initials: V
authors.lastname: Bheem
authors.affiliation: Department of Clinical Sciences, Lecturer University of West Indies, St Augustine, San Fernando, Trinidad and Tobago.
authors.forename: Patrick
authors.initials: P
authors.lastname: Harnarayan
mesh_terms: D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications*; D002176:Candida albicans / Q000302:isolation & purification; D016154:Digestive System Fistula / Q000209:etiology*; D005747:Gastric Fistula / Q000209:etiology*; D006801:Humans; D046290:Liver Abscess, Pyogenic / Q000175:diagnosis / Q000209:etiology*; D008297:Male