2016 Volume 36 Issue 7 Pages 1265-1269
Pyogenic liver abscesses can occur from a variety of causes. There are few reports of liver abscess developing in patients with colon cancer. Herein, we report the case of a 64-year-old man with ascending colon cancer who developed a pyogenic liver abscess during chemotherapy. The patient was referred to our hospital for a mass lesion in the ascending colon, and was diagnosed as having advanced ascending colon cancer. He was treated with capecitabine/oxaliplatin plus bevacizumab in an attempt to reduce the risk of postoperative recurrence. During the third course of chemotherapy, the patient developed fever, although his general condition remained good. After 4 courses of chemotherapy, enhanced computed tomography revealed an abscess in the right lobe of the liver. After percutaneous transhepatic drainage of the abscess followed by antibiotic therapy, the patient's condition improved. The causative pathogen was Streptococcus anginosus. In conclusion, although pyogenic liver abscesses rarely develop during chemotherapy for colon cancer, the possibility should be borne in mind.
