Sonographische Diagnose eines Leberabszesses infolge einer enterohepatischen Fistel bei einem Patienten mit Morbus Crohn

. Abstract ! Liver abscesses in patients with Crohn’s disease are rare. We report on a patient with Crohn’s disease and a liver abscess of the left lobe caused by an enterohepatic fistula. With treat-ment of antibiotics and Infliximab (cid:3) the abscess showed complete regression. Percutaneous drainage of the liver abscess was not performed because the abscess was shown not to be completely liquefied at echo-enhanced ultrasound. This case report demonstrates the usefulness of percutaneous conventional and echo-enhanced ultrasound for the diagnosis of liver abscesses. Furthermore, this case also shows that enterohepatic fistulas can be diagnosed precisely with percutaneous ultrasound.

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