Narayanan S, Madda J P, Johny M, Varga G, Prakash B, Koshy A
Al-Amiri Hopital, Safat, Kuwait.
Am J Gastroenterol. 1998 Dec;93(12):2607-9. doi: 10.1111/j.1572-0241.1998.00638.x.
A 40-yr-old male doctor from India presented with pyogenic liver abscesses as the first manifestation of Crohn's disease. The Crohn's disease itself was limited to the appendix and the adjacent cecum and could be diagnosed only 6 months after the presentation with liver abscess. This single case highlights three unusual features of Crohn's disease, and stresses the importance of meticulous search for a cause for pyogenic liver abscess when it occurs in an otherwise healthy adult.
一名来自印度的40岁男医生,以化脓性肝脓肿作为克罗恩病的首发表现。克罗恩病本身仅局限于阑尾及相邻的盲肠,在出现肝脓肿6个月后才得以确诊。这一病例凸显了克罗恩病的三个不寻常特征,并强调了对于原本健康的成年人发生化脓性肝脓肿时,仔细寻找病因的重要性。