Cryptogenic Pyogenic Liver Abscess as a Sentinel of Occult Colorectal Cancer: Successful Conservative Management of a Rare Presentation

colitis. Colonoscopy revealed an ascending colonic adenocarcinoma. She underwent right hemicolectomy, and pathology confirmed stage II colonic carcinoma. Her earlier liver abscesses were later recognized as the first sign of her underlying cancer. This case highlights the importance of evaluating cryptogenic liver abscesses for occult CRC. It also shows that, in selected patients, even large, complex abscesses can respond well to antibiotics alone. Early multidisciplinary involvement and clinical suspicion are key.