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[Sonographic diagnosis of a liver abscess caused by an enterohepatic fistula in a patient with Crohn's disease].

作者信息

Rickes S, von Arnim U, Peitz U, Ebert M, Mönkemüller K, Malfertheiner P

机构信息

Klinik für Gastroenterologie, Hepatologie und Infektiologie der Otto-von-Guericke-Universität Magdeburg, Germany.

出版信息

Ultraschall Med. 2006 Dec;27(6):572-6. doi: 10.1055/s-2005-859009.

Abstract

Liver abscesses in patients with Crohn's disease are rare. We report on a patient with Crohn's disease and a liver abscess of the left lobe caused by an enterohepatic fistula. With treatment of antibiotics and Infliximab the abscess showed complete regression. Percutaneous drainage of the liver abscess was not performed because the abscess was shown not to be completely liquefied at echo-enhanced ultrasound. This case report demonstrates the usefulness of percutaneous conventional and echo-enhanced ultrasound for the diagnosis of liver abscesses. Furthermore, this case also shows that enterohepatic fistulas can be diagnosed precisely with percutaneous ultrasound.

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