Cryptogenic liver abscess (CLA) is a well-known disease entity that has puzzled clinicians for centuries. With the advancement of
diagnostic modalities, comes the decreasing incidence of liver abscess labelled as ‘cryptogenic’ in nature. Colonic diseases have been
identified as a possible underlying condition found in patients with liver abscesses. Although rare, tubullovillous adenomas have been
implicated as one of the colonic causes of a CLA. We present a case of a CLA in a 53-year-old man with a potentially associated
tubullovillous adenoma found via colonoscopy.