2017 Volume 42 Issue 6 Pages 985-989
A 68-year-old woman with a positive fecal occult blood test and Type Ⅱ lesion observed on colonoscopy, underwent a biopsy revealing adenocarcinoma (tub1). She was diagnosed as having cecal cancer and underwent laparoscopic ileocecal resection. Her postoperative course was uneventful, and she was dischargeed on the sixth postoperative day. Two months after surgery, she visited the emergency department with fever. An abdominal computed tomography (CT) scan revealed a mosaic low density area in liver segments 6, 7 and 8, and she was diagnosed as having a liver abscess. She was urgently admitted to the hospital on the same day and antibiotic treatment initiated. Because she did not improve, percutaneous transhepatic abscess drainage (PTAD) was performed twice. A culture of the abscess fluid grew Klebsiella pneumoniae. After PTAD, her pyrexia resolved and inflammatory reaction subsided. On the 11th day after draining the abscess, the drain was removed, and she was discharged on the 16th day post-PTAD. Liver abscess secondary to colorectal cancer occurs due to celozoic bacterial infection transmitted to the liver via the portal vein, due to destruction of the intestinal wall by the tumor. In addition to decreased immunity due to the malignancy, systemic factors, viz., old age, and diabetes are likely causes. In this case, the patient had no prior medical history, a stable preoperative systemic condition, and no postoperative complications. We report a rare case of a patient, who developed a liver abscess after laparoscopic ileocecal resection.
