Hoover E L, Webb H, Walker C, Weaver W L
Department of Surgery, Meharry Medical College, Nashville, Tenn. 37208.
South Med J. 1990 Jan;83(1):54-6. doi: 10.1097/00007611-199001000-00017.
We have described a patient with multiple hepatic abscesses caused by a perforated jejunal diverticulum with a presumed route of infection via the portal vein. Patients with hepatic abscesses and no known source of infection should be evaluated for a contained mesenteric perforation of the gastrointestinal tract. Finally, in patients who fail to respond promptly to percutaneous catheter drainage of a liver abscess, a continuing source of infection, such as perforation of a jejunal diverticulum, should be suspected.
