# Double Trouble: Synchronous Hepatoduodenal and Hepatocolic Fistulisation in a Case of Untreated Liver Abscess

## TL;DR

A rare case of a liver abscess rupturing into both the duodenum and colon is reported, highlighting the importance of vigilance in treating such conditions.

## Contribution

This is the first reported case of simultaneous hepatoduodenal and hepatocolic fistulas from an untreated liver abscess.

## Key findings

- An elderly male patient developed fistulous connections between a liver abscess and the duodenum and colon.
- The case was confirmed using radiological and endoscopic methods.
- This case emphasizes the need for awareness of rare complications in common liver conditions.

## Abstract

A hepatic abscess is a potentially life-threatening condition that can lead to major complications if left untreated. One of the rarest complications of hepatic abscesses is rupture into adjacent organs like the duodenum, stomach, and colon. We report a case of an elderly male patient with a hepatic abscess that ruptured into the duodenum and colon, forming fistulous connections. To the best of our knowledge, this is the only reported case of hepatic abscess with simultaneous hepatoduodenal and hepatotoxic fistulas, confirmed radiologically and endoscopically. This report signifies the need for a high level of vigilance for extremely rare complications in relatively common conditions.