巨大肝嚢胞に合併したと思われる自由生活性アメーバ性肝膿瘍の一例

迫田 雅彦,上野 真一,久保 文武,樋渡 清司,立野 太郎,尾本 至,松下 大輔,新地 洋之,又木 雄弘,蔵原 弘,平田 晋吾,貴島 文雄,夏越 祥次

タイトル	ja 巨大肝嚢胞に合併したと思われる自由生活性アメーバ性肝膿瘍の一例
その他のタイトル	A Case of Free-Living Amebic Liver Abscess Believed to Have Complicated a Huge Liver Cyst
作成者	迫田, 雅彦 NRID 1000040418851 上野, 真一 NRID 1000040322317 久保, 文武樋渡, 清司立野, 太郎尾本, 至松下, 大輔新地, 洋之 NRID 1000060284874 又木, 雄弘 NRID 1000010444902 蔵原, 弘 NRID 1000070464469 平田, 晋吾貴島, 文雄夏越, 祥次 NRID 1000070237577
主題	Other free-living amoeba Other liver abscess Other liver cyst Other Entamoeba histolytica NDC 490
内容注記	Other type:論文(Article) Other We report a case of a free-living amebic liver abscess believed to have complicated a huge liver cyst. A 64-year-old woman with complaint of right upper quadrant abdominal distention was admitted to our hospital and a huge liver cyst measuring 18 cm in diameter was observed on CT. However, since ultrasonography revealed a solid component like a septum, aspiration cytology and needle biopsy were performed. The aspirate was serous and dark reddish-brown. Histologically, many amoebas were detected and it was diagnosed as a free-living amebic liver abscess instead of Entamoeba histolytica. She was treated with oral metronidazole and percutaneous drainage. However, a secondary infection occurred, and hepatectomy was ultimately performed. Our case is of interest because the inflammation response was not expected, the CT findings suggested a liver cyst, and because of the diagnosis of a very rare free-living amebic liver abscess. It is therefore necessary to keep the possibility of liver abscess in mind during the diagnosis of such cystic lesions.
出版者	鹿児島大学
日付	Created 2016-10-28 , Issued 2008
言語	jpn
資源タイプ	departmental bulletin paper
出版タイプ	VoR
資源識別子	URI http://hdl.handle.net/10232/8524
収録誌情報	NCID AN00040104 ISSN 0368-5063 鹿児島大学医学雑誌 = Medical journal of Kagoshima University 60(1), 21-25
ファイル	https://ir.kagoshima-u.ac.jp/?action=repository_action_common_download&item_id=10341&item_no=1&attribute_id=16&file_no=1
コンテンツ更新日時	2019-11-22T06:55:00Z