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Anaerobic liver abscesses as initial presentation of silent colonic cancer
Authors:
JA 
lvarez a;
RF Baldonedo a;
IG Bear a;
P. lvarez a;
JI Jorge a
lvarez a;
RF Baldonedo a;
IG Bear a;
P. lvarez a;
JI Jorge a
| Affiliation: | a Service of General Surgery, Hospital San Agust n, Avil s, Spain |
DOI:
10.1080/13651820310015798
Publication Frequency:
6 issues per year
Subject:
Gastrointestinal & Abdominal Surgery;
Number of References: 10
Formats available:
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(English)
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(English)
The circumstances under which this title is published have changed:
Reason for change: Changed Publisher
Now published by: Wiley-Blackwell Publishing Ltd
Date of change: 2009
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Abstract
Background Rarely, multiple liver abscesses caused by anaerobic organisms are the presenting form of unsuspected colonic cancer in the absence of liver metastases.
Case outline A 68-year-old man was admitted with abdominal pain, fever and chills. Imaging scans and repeated cytology yielded a diagnosis of multiple liver abscesses. Pus cultures grew Peptostreptococcus anaerobius, Bacteroides melaninogenicus and Peptostreptococcus spp. A search for the underlying cause led to the discovery of an adenocarcinoma of the sigmoid colon. After a 12-month postoperative follow-up, the patient is free of hepatic metastases. Discussion Anaerobic liver abscesses should always alert the clinician to possible silent colonic carcinoma. |
| Keywords: colon cancer; pyogenic liver abscess; anaerobic liver abscess; multiple liver abscesses |
| view references (10) |
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