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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
  • en A Case of Free-Living Amebic Liver Abscess Believed to Have Complicated a Huge Liver Cyst
Creator
    • ja 迫田, 雅彦 en SAKODA, Masahiko
    • ja 上野, 真一 en UENO, Shin-ichi
    • ja 久保, 文武 en KUBO, Fumitake
    • ja 樋渡, 清司 en HIWATASHI, Kiyokazu
    • ja 立野, 太郎 en TATENO, Taro
    • ja 尾本, 至 en OMOTO, Itaru
    • ja 松下, 大輔 en MATSUSHITA, Daisuke
    • ja 新地, 洋之 en SHINCHI, Hiroyuki
    • ja 又木, 雄弘 en MATANO, Yuko
    • ja 蔵原, 弘 en KURAHARA, Hitoshi
    • ja 平田, 晋吾 en HIRATA, Shingo
    • ja 貴島, 文雄 en KIJIMA, Fumio
    • ja 夏越, 祥次 en NATSUGOE, Shoji
Subject
  • Other en free-living amoeba
  • Other en liver abscess
  • Other en liver cyst
  • Other en Entamoeba histolytica
Description
  • Other en 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 ja 鹿児島大学 en Kagoshima University
Date
    Issued2008
Language
  • jpn
Resource Type departmental bulletin paper
Version Type VoR
Identifier HDL http://hdl.handle.net/10232/8524 , URI https://ir.kagoshima-u.ac.jp/records/10341
Journal
    • PISSN 03685063
    • NCID AN00040104
      • ja 鹿児島大学医学雑誌 en Medical journal of Kagoshima University
      • Volume Number60 Issue Number1 Page Start21 Page End25
File
    • fulltext article05.pdf
    • 711.1 kB (application/pdf)
      • Available2016-10-28
Oaidate 2024-06-04