A case of multiple liver abscess due to colon diverticulitis

Abstract

A 68-year-old man admitted to our hospital with the chief complaint of fever and right upper abdminal pain during the follow-up period of descending colon diverticulitis. Abdominal computed tomography and clinical laboratory findings suggested multiple liver abscess secondary to the colon diverticulitis. With our prompt antibiotics administration, the liver abscesses diminished and the patient's general condition was markedly improved. The part of the colon which had diverticulitis was resected to prevent the abscess recurrence.
Liver abscess is one of the infrequent, but serious complications of diverticulitis. Early diagnosis and appropriate antibiotics treatment is believed to be a key to the better prognosis for such complicated patients. Both computed tomography and ultrasonography are powerful tools for the quick and non-invasive diagnosis.