Abdominal Pain in a Patient With Diverted Bowel and Inflammatory Bowel Disease

被引：6

作者：

Hasan, Badar ^{[1
]}

Khalid, Rumman ^{[1
]}

Charles, Roger ^{[1
]}

Shen, Bo ^{[2
]}

机构：

[1] Cleveland Clin Florida, Dept Gastroenterol, Weston, FL 33331 USA

[2] Columbia Univ, Ctr Inflammatory Bowel Dis, Digest Dis & Surg Inst, New York Presbyterian Hosp, New York, NY USA

来源：

ACG CASE REPORTS JOURNAL | 2020年 / 7卷 / 08期

关键词：

PYOGENIC LIVER-ABSCESSES; ULCERATIVE-COLITIS;

D O I：

10.14309/crj.0000000000000437

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Patients with medically refractory inflammatory bowel disease may undergo total proctocolectomy with ileal pouch-anal anastomosis. However, fecal diversion is necessary in patients with pouch failure. We present a rare case of pyogenic liver abscess (PLA) in a patient with ulcerative colitis with a history of ileal pouch-anal anastomosis complicated by chronic pouchitis requiring fecal diversion via loop ileostomy. The PLA was managed with computed tomography-guided aspiration drainage and antibiotics, followed by permanent ileostomy and pouch excision to prevent recurrence of PLA. This is the first case report of PLA in a patient with ulcerative colitis with a long-standing history of diversion pouchitis.

引用

页数：3

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