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Title
  • 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
Alternative
  • A Case of Free-Living Amebic Liver Abscess Believed to Have Complicated a Huge Liver Cyst
Creator
Subject
  • Other free-living amoeba
  • Other liver abscess
  • Other liver cyst
  • Other Entamoeba histolytica
  • NDC 490
Description
  • 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.
Publisher 鹿児島大学
Date
    Created2016-10-28 , Issued2008
Language
  • jpn
Resource Type departmental bulletin paper
Version Type VoR
Identifier URI http://hdl.handle.net/10232/8524
Journal
    • NCID AN00040104
    • ISSN 0368-5063
      • 鹿児島大学医学雑誌 = Medical journal of Kagoshima University 60(1), 21-25
File
Oaidate 2021-04-14