Yamaguchi H, Oba K, Yano M, Okazaki K, Igari Y, Koibuchi H, Sato S, Suzuki T, Nakano H, Metori S
Division of Geriatric Medicine, Nippon Medical School.
Nihon Ronen Igakkai Zasshi. 1999 May;36(5):369-72. doi: 10.3143/geriatrics.36.369.
A 70-year-old woman was referred to our hospital for treatment of cholelithiasis. A giant liver cyst (6 cm in diameter) had been diagnosed three years earlier. On admission, she had low grade fever and hepatomegaly. High values were observed for WBC (9900/microliter), CRP (8.9 mg/dl), GPT (45 IU/l), ALP (1399 IU/l), gamma-GTP (333 IU/l) and LAP (249 IU/l). The diagnosis of infected liver cyst (8 cm in diameter) was made based on contrast-enhanced CT scan. Endoscopic retrograde cholangiopancreaticography showed no communication between the cyst and the intrahepatic bile duct. She was successfully managed with antibiotics and discharged without percutaneous aspiration the cyst. On abdominal CT scan 4 months after the discharge, the liver cyst had decreased dramatically in size (1 cm in diameter). The patient remains healthy without symptoms.
一名70岁女性因胆结石前来我院治疗。三年前诊断出一个巨大肝囊肿（直径6厘米）。入院时，她有低热和肝肿大。白细胞（9900/微升）、C反应蛋白（8.9毫克/分升）、谷丙转氨酶（45国际单位/升）、碱性磷酸酶（1399国际单位/升）、γ-谷氨酰转肽酶（333国际单位/升）和亮氨酸氨基肽酶（249国际单位/升）值较高。根据增强CT扫描诊断为感染性肝囊肿（直径8厘米）。内镜逆行胰胆管造影显示囊肿与肝内胆管无连通。她通过抗生素治疗成功康复，未进行经皮穿刺抽吸囊肿即出院。出院4个月后的腹部CT扫描显示，肝囊肿大小显著减小（直径1厘米）。患者保持健康，无任何症状。
