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[Submucosal bacterial abscesses of the ascending colon and liver associated with portal and superior mesenteric vein thrombosis due to Enterococcus faecalis infection: a case report].

[Submucosal bacterial abscesses of the ascending colon and liver associated with portal and superior mesenteric vein thrombosis due to Enterococcus faecalis infection: a case report].

Authors :
Norimura D
Takeshima F
Satou Y
Nakagoe T
Ohnita K
Isomoto H
Nakao K
Source :
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology [Nihon Shokakibyo Gakkai Zasshi] 2014 Jun; Vol. 111 (6), pp. 1135-40.
Publication Year :
2014

Abstract

A 72-year-old woman with diabetes mellitus was admitted with fever and general fatigue. Blood biochemistry showed elevated hepatic and biliary enzyme levels, abdominal computed tomography showed multiple liver abscesses with portal and superior mesenteric vein thrombosis, and total colonoscopy revealed a submucosal bacterial abscess in the ascending colon. The abscesses were determined to be associated with Enterococcus faecalis infection. The patient was treated conservatively with antibiotics (meropenem) and anticoagulants (warfarin), which led to a gradual amelioration of symptoms and resolution of thrombosis.

Details

Language :
Japanese
ISSN :
0446-6586
Volume :
111
Issue :
6
Database :
MEDLINE
Journal :
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology
Publication Type :
Academic Journal
Accession number :
24898493