Liver Abscess Caused by Citrobacter Freundii Secondary to Cholecysto-antral Fistula: A Case Report

Amal Hajri, Oussama Lafkih, Driss Erguibi, Saad Rifki El Jai, Rachid Boufettal and Farid Chehab

European Journal of Medical and Health Sciences, 2020, vol. 2, issue 2

Abstract: Liver abscesses secondary to bilio-enteric fistulas are rare and therefore unknown to the attending physician. In this report, we present a bilio-enteric communication, between the gallbladder; which was macro lithiasic; and the stomach revealed by an upper digestive hemorrhage in a septic context in a 34 year old man. A pyogenic bacterial liver abscess developed because of the fistula without biliary obstruction. The patient was treated surgically with disconnection of the fistula and drainage of the abscess. The liver abscess is probably due to the contamination of the bile by the cholecysto-gastric fistula. The germ isolated was a citrobacter freundii which is rarely involved in liver abscesses.

Keywords: bilio-enteric fistula; citrobacter freundii; liver abscess. (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:epw:ejmed0:v:2:y:2020:i:2:id:40212

DOI: 10.24018/ejmed.2020.2.2.212

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