{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:04:51Z","timestamp":1756382691842,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,2,21]]},"abstract":"<jats:p>A 58-year-old man was admitted due to a 4-month history of colicky right upper quadrant pain, intermittent fever, anorexia and weight loss. A contrast-enhanced CT scan of the abdomen showed an encapsulated, peripherally enhancing focus occupying the right liver lobe exhibiting capsular rupture and extension to the walls of the hepatic flexure. He immediately underwent emergency ultrasound-guided percutaneous catheter drainage and cultures of the purulent fluid later revealed <jats:italic>Escherichia coli<\/jats:italic>. A colonoscopy was then performed which showed a pinpoint opening with draining pus at the hepatic flexure. A fistulogram confirmed a fistulous tract arising from the inferior aspect of the abscess cavity, draining into the posterosuperior aspect of the hepatic flexure. He was started on intravenous antibiotics and after 1\u2005week of decreasing output, a repeat ultrasound showed very minimal residual fluid. The percutaneous catheter drain was then removed after 2\u2005weeks and the patient was discharged improved.<\/jats:p>","DOI":"10.1136\/bcr-2016-219141","type":"journal-article","created":{"date-parts":[[2017,3,8]],"date-time":"2017-03-08T11:00:27Z","timestamp":1488970827000},"page":"bcr2016219141","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Hepatocolic fistula: a rare presentation of pyogenic liver abscess"],"prefix":"10.1136","volume":"2017","author":[{"given":"Aeden Bernice G","family":"Timbol","sequence":"first","affiliation":[{"name":"Section of Gastroenterology, Department of Medicine, Philippine General Hospital, University of the Philippines, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen Anjela M","family":"Mondragon","sequence":"additional","affiliation":[{"name":"Section of Gastroenterology, Department of Medicine, Philippine General Hospital, University of the Philippines, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virgilio P","family":"Banez","sequence":"additional","affiliation":[{"name":"Section of Gastroenterology, Department of Medicine, Philippine General Hospital, University of the Philippines, Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,3,8]]},"reference":[{"key":"2025082801065371000_2017.mar08_2.bcr2016219141.1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v17.i12.1622"},{"key":"2025082801065371000_2017.mar08_2.bcr2016219141.2","doi-asserted-by":"crossref","first-page":"3515","DOI":"10.1007\/s10620-006-9198-x","article-title":"Hepatic abscess that formed secondary to fish bone and had a fistula with the ascending colon","volume":"52","author":"Kim","year":"2007","journal-title":"Dig Dis Sci"},{"key":"2025082801065371000_2017.mar08_2.bcr2016219141.3","doi-asserted-by":"crossref","first-page":"106","DOI":"10.3904\/kjim.2007.22.2.106","article-title":"Journey of a swallowed toothbrush to the colon","volume":"22","author":"Kim","year":"2007","journal-title":"Korean J Intern Med"},{"key":"2025082801065371000_2017.mar08_2.bcr2016219141.4","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.1308\/rcsann.2013.95.8.e15","article-title":"Hepatocolinic fistula: a rare consequence of retained gallstones after laparoscopic cholecystectomy","volume":"95","author":"Stevens","year":"2013","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082801065371000_2017.mar08_2.bcr2016219141.5","first-page":"27","article-title":"Nature heals: spontaneous resolution of liver abscess through hepato-colic fistula","volume":"1","author":"Ishwar","year":"2015","journal-title":"IJSS Case Rep Rev"},{"key":"2025082801065371000_2017.mar08_2.bcr2016219141.6","doi-asserted-by":"crossref","first-page":"256","DOI":"10.4174\/jkss.2013.84.4.256","article-title":"Right side fixation of sigmoid colon with a hepato-sigmoidocolic fistula in patient with hepatocellular carcinoma and midgut malrotation","volume":"84","author":"Choi","year":"2013","journal-title":"J Korean Surg Soc"},{"key":"2025082801065371000_2017.mar08_2.bcr2016219141.7","unstructured":"Kim A , Chung R . 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