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Multiple hepatic abscesses: cholangiographic changes simulating sclerosing cholangitis and resolution after percutaneous drainage.

Abstract
A 59-yr-old man developed multiple hepatic abscesses following an episode of diverticulitis. A percutaneous transhepatic cholangiogram (PTC) showed changes typical of sclerosing cholangitis complicated by multiple hepatic abscesses. No biliary tract stones were seen either on ultrasound or PTC. A single drain left in the right biliary tree and a course of intravenous antibiotics resulted in complete normalization within 14 days of the previously involved biliary tree.
AuthorsA H Steinhart, M Simons, R Stone, J Heathcote
JournalThe American journal of gastroenterology (Am J Gastroenterol) Vol. 85 Issue 3 Pg. 306-8 (Mar 1990) ISSN: 0002-9270 [Print] United States
PMID2309682 (Publication Type: Case Reports, Journal Article)
Topics
  • Bacteroides Infections (diagnosis)
  • Cholangiography
  • Cholangitis, Sclerosing (complications, diagnostic imaging)
  • Diagnosis, Differential
  • Drainage (methods)
  • Humans
  • Liver Abscess (diagnostic imaging, etiology, therapy)
  • Male
  • Middle Aged
  • Streptococcal Infections (diagnosis)
  • Tomography, X-Ray Computed

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