{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T10:08:51Z","timestamp":1779012531582,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Hepatic abscesses are uncommon and rarely associated with diverticulitis as an indirect source of infection. We report the case of a 60-year-old male with a history of recurrent diverticulitis who presented with fever, nausea, and abdominal pain demonstrating a single multiloculated hepatic lesion measuring 5.8\u2009\u00d7\u20095.1\u2009\u00d7\u20095.1\u2009cm upon admission. Piperacillin\u2013tazobactam was initiated for sepsis management, and metronidazole was initiated for amoebic coverage. Aspiration and drainage of the abscess were performed, and cultures confirmed\n                    <jats:italic toggle=\"yes\">Streptococcus intermedius<\/jats:italic>\n                    , prompting antibiotic therapy to be narrowed to ceftriaxone and metronidazole. Subsequent imaging showed a reduction in the size of the abscess. A pyogenic liver abscess can rarely arise from hematogenous spread of infection via the portal venous system in the setting of diverticulitis. Early imaging, prompt antimicrobial therapy, and source control are essential to optimize outcomes and prevent complications.\n                  <\/jats:p>","DOI":"10.1177\/2050313x261449110","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T09:52:11Z","timestamp":1778579531000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A rare case report of pyogenic hepatic abscess secondary to sigmoid diverticulitis"],"prefix":"10.1177","volume":"14","author":[{"given":"Hari","family":"Movva","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8378-1268","authenticated-orcid":false,"given":"Yasamin","family":"Rastgar","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arkoon","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ethan","family":"Glass","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nghia","family":"Nguyen","sequence":"additional","affiliation":[{"name":"GastroDoxs, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gurinder","family":"Luthra","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Division of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Liver abscess","author":"Akhondi H","year":"2023","unstructured":"Akhondi H, Sabih DE. Liver abscess. StatPearls Publishing, 2023."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000012326"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2026.1649624"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v31.i42.112478"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2022.03.003"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-222013"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-024-09226-y"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2023.08.054"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.7326\/aimcc.2022.0176"},{"key":"e_1_3_2_11_2","volume-title":"Acute diverticulitis (Archived)","author":"Linzay CD","year":"2023","unstructured":"Linzay CD, Pandit S. Acute diverticulitis (Archived). StatPearls Publishing, 2023."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.14740\/jmc3762"},{"issue":"10","key":"e_1_3_2_13_2","article-title":"Acute streptococcus constellatus pyogenic liver abscess due to an atypical presentation of sigmoid diverticulitis complicated by pericolonic abscess","volume":"12","author":"Navarrete D","year":"2020","unstructured":"Navarrete D, Patil S, Dandachi D. Acute streptococcus constellatus pyogenic liver abscess due to an atypical presentation of sigmoid diverticulitis complicated by pericolonic abscess. Cureus 2020; 12(10): e10940.","journal-title":"Cureus"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-017-2872-y"},{"issue":"1492","key":"e_1_3_2_15_2","first-page":"30","article-title":"Pyogenic liver abscess: incidence, causality, management and clinical outcomes in a New Zealand cohort","volume":"132","author":"Kubovy J","year":"2019","unstructured":"Kubovy J, Karim S, Ding S. Pyogenic liver abscess: incidence, causality, management and clinical outcomes in a New Zealand cohort. N Z Med J 2019; 132(1492): 30\u201335.","journal-title":"N Z Med J"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000012326"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1159\/000506932"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.4103\/0974-777X.77300"},{"issue":"4","key":"e_1_3_2_19_2","article-title":"Pyogenic liver abscess growing streptococcus constellatus in an elderly female with recent diverticulitis: a case report","volume":"15","author":"Nahidi SM","year":"2023","unstructured":"Nahidi SM, Hussaini MS, Mahadeo D, et al. Pyogenic liver abscess growing streptococcus constellatus in an elderly female with recent diverticulitis: a case report. Cureus 2023; 15(4): e37004.","journal-title":"Cureus"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/cld.487"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2013.01.016"}],"container-title":["Sage Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X261449110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X261449110","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X261449110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T09:51:33Z","timestamp":1779011493000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X261449110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":20,"alternative-id":["10.1177\/2050313X261449110"],"URL":"https:\/\/doi.org\/10.1177\/2050313x261449110","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"2050313X261449110"}}