タイトル |
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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
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その他のタイトル |
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A Case of Free-Living Amebic Liver Abscess Believed to Have Complicated a Huge Liver Cyst
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作成者 |
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主題 |
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Other
free-living amoeba
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Other
liver abscess
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Other
liver cyst
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Other
Entamoeba histolytica
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NDC
490
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内容注記 |
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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.
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出版者 |
鹿児島大学
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日付 |
Created2016-10-28
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Issued2008
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言語 |
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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
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収録誌情報 |
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NCID
AN00040104
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ISSN
0368-5063
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鹿児島大学医学雑誌 = Medical journal of Kagoshima University
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巻60
号1
開始ページ21
終了ページ25
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ファイル |
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コンテンツ更新日時 |
2023-07-18 |