无明显症状结肠癌的首发表现为厌氧性肝脓肿。
Anaerobic liver abscesses as initial presentation of silent colonic cancer.
机构信息
Service of General Surgery, Hospital San Agustín, Avilés, Spain.
出版信息
HPB (Oxford). 2004;6(1):41-2. doi: 10.1080/13651820310015798.
BACKGROUND
Rarely, multiple liver abscesses caused by anaerobic organisms are the presenting form of unsuspected colonic cancer in the absence of liver metastases.
CASE OUTLINE
A 68-year-old man was admitted with abdominal pain, fever and chills. Imaging scans and repeated cytology yielded a diagnosis of multiple liver abscesses. Pus cultures grew Peptostreptococcus anaerobius, Bacteroides melaninogenicus and Peptostreptococcus spp. A search for the underlying cause led to the discovery of an adenocarcinoma of the sigmoid colon. After a 12-month postoperative follow-up, the patient is free of hepatic metastases.
DISCUSSION
Anaerobic liver abscesses should always alert the clinician to possible silent colonic carcinoma.
背景
在没有肝转移的情况下，罕见情况下，由厌氧微生物引起的多发性肝脓肿是未被怀疑的结直肠癌的首发表现形式。
病例概述
一名 68 岁男性因腹痛、发热和寒战入院。影像学扫描和反复细胞学检查诊断为多发性肝脓肿。脓液培养出厌氧消化链球菌、黑色素拟杆菌和消化链球菌属。为寻找潜在病因，发现乙状结肠癌。术后 12 个月随访时，患者无肝转移。
讨论
厌氧性肝脓肿应始终提醒临床医生注意可能存在的无症状结直肠癌。
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