Crohn's disease presenting as pyogenic liver abscess with review of previous case reports

A 40-yr-old male doctor from India presented with pyogenic liver abscesses as the first manifestation of Crohn's disease. The Crohn's disease itself w as limited to the appendix and the adjacent cecum and could be diagnosed on ly 6 months after the presentation with liver abscess. This single case hig hlights three unusual features of Crohn's disease, and stresses the importa nce of meticulous search for a cause for pyogenic liver abscess when it occ urs in an otherwise healthy adult. (C) 1998 by Am, Cell. of Gastroenterolog y.