Liver Micro Abscesses in a 16-year-old Girl with No History of Underlying Diseases; A Case Report

Abstract

Liver abscess can be defined as an accumulation of secretions within the liver parenchyma, which may be caused by bacterial, fungal, or parasitic microorganisms. In this study, we reported a case of liver microabsorption in a 16-year-old girl with no history of underlying diseases, which could ultimately lead to the diagnosis of Crohn's disease in this patient. The patient was a 16-year-old girl presenting with nausea, vomiting, diarrhea, and anorexia. Of the accompanying symptoms, she mentioned two occasions of fever and chills. The patient was also hospitalized a week ago and in the tests performed, the number of white blood cells was 12,400 and the positive occult blood test in the fecal test was 8-10 red blood cells and 4-45 white blood cells. She was treated with a diagnosis of gastroenteritis and was discharged with partial recovery. There was nothing special in the examination. The only ultrasonography revealed the presence of free fluid in the loop near the ovaries. The patient-specific tests that were requested were all normal. Repeat ultrasonography of the patient reported normal liver with numerous hypovaccal nodules in the entire parenchymal artery, which had increased in size and number compared with the previous assessment. Finally, the patient was discharged 5 days after the fever stopped and due to the improvement of her general condition with the prescription of levofloxacin and metronidazole, and was referred to the clinic one week later

In this case, we attempted to review the literature on the etiology, diagnosis, and treatment of hepatic abscess for a physician.