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Case Reports
. 2007 Aug;22(4):750-3.
doi: 10.3346/jkms.2007.22.4.750.

Combined hepatic and splenic abscesses in a patient with ulcerative colitis

Jeong Seon Ji  1 , Hyung Keun Kim, Sung Soo Kim, Young Seok Cho, Hiun Suk Chae, Chang Wook Kim, Bo In Lee, Hwang Choi, Byung Wook Kim, Kyu Yong Choi
Affiliations
Case Reports

Combined hepatic and splenic abscesses in a patient with ulcerative colitis

Jeong Seon Ji et al. J Korean Med Sci. 2007 Aug.

Abstract

Liver abscesses are very rare complications of ulcerative colitis, and furthermore, there has been only one case of splenic abscess in a patient with ulcerative colitis reported in the English literature. We recently encountered a patient with ulcerative colitis accompanied by both hepatic and splenic abscesses. The patient was treated with abscess drainage as well as sulfasalazine and antibiotics. Follow-up sonography of the abdomen showed complete resolution of the lesions. To our knowledge, this is the first report of combined case of multiple liver abscesses combined with splenic abscess in a patient with ulcerative colitis.

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Figures

Fig. 1
Fig. 1
Colonoscopy showing hyperemic mucosa, diffuse multiple geographic ulcers, and mucosal nodularity.
Fig. 2
Fig. 2
Barium enema radiograph revealing a shortened, haustra-free and narrowed entire colon without skip lesions.
Fig. 3
Fig. 3
Photomicrograph of a liver biopsy specimen showing ulcer, infiltration of lymphocytes, and focal glandular disruption (H&E, ×200).
Fig. 4
Fig. 4
Computed tomography scans of the abdomen showing several non-enhancing hypodense lesions in the right hepatic lobe and spleen.
See this image and copyright information in PMC

References

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