Liver Abscess Secondary to Acute Appendicitis: How a Chicken Bone Started it All

Abstract

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Fusobacterium nucleatum: Atypical organism of pyogenic liver abscess might be related to sigmoid diverticulitis

“…[ 1 ] The sequence of PLA secondary to rupture of acute appendicitis has been reported. [ 3 ] Occasionally, PLA occurred from surgical or penetrating wounds. Recently, a study demonstrated the significant change in etiology of PLA, which is predominantly caused by Klebsiella pneumoniae and occurred in patients with underlying hepatobiliary disease that spread directly from biliary infection.…”

Sessile serrated adenoma/polyp leading to acute appendicitis with multiple pyogenic liver abscesses: A case report

“…Although acute appendicitis is a common emergency disease (7%) [8] , appendicitis with pyogenic liver abscess is rare, with an estimated incidence of less than 0.03% [1] . In most cases, liver abscess metachronously occurs after the start of treatment for a perforated, gangrenous, or phlegmonous appendicitis [2] , [9] , [10] . In a previous report, liver abscess was caused by organisms via the following three major routes: the biliary tract (60%), portal vein (6%), and hepatic artery (10%) [11] .…”