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实性组织性隐源性肝脓肿及其与结肠绒毛管状腺瘤的关联。

A solid organising cryptogenic liver abscess and its association with a colonic tubullovillous adenoma.

作者信息

Tan Christopher B, Shah Mitanshu, Rajan Dhyan, Lipka Seth, Ahmed Shadab, Freedman Lester, Rizvon Kaleem, Mustacchia Paul

机构信息

Department of Internal Medicine, Nassau University Medical Center, East Meadow, New York, USA.

出版信息

BMJ Case Rep. 2012 Jul 9;2012:bcr2012006431. doi: 10.1136/bcr-2012-006431.

Abstract

Cryptogenic liver abscess (CLA) is a well-known disease entity that has puzzled clinicians for centuries. With the advancement of diagnostic modalities, comes the decreasing incidence of liver abscess labelled as 'cryptogenic' in nature. Colonic diseases have been identified as a possible underlying condition found in patients with liver abscesses. Although rare, tubullovillous adenomas have been implicated as one of the colonic causes of a CLA. We present a case of a CLA in a 53-year-old man with a potentially associated tubullovillous adenoma found via colonoscopy.

摘要

隐源性肝脓肿(CLA)是一种几个世纪以来一直困扰临床医生的知名疾病实体。随着诊断方式的进步,本质上被标记为“隐源性”的肝脓肿发病率在下降。结肠疾病已被确定为肝脓肿患者可能存在的潜在病因。尽管罕见,但绒毛管状腺瘤被认为是CLA的结肠病因之一。我们报告一例53岁男性的CLA病例,该患者通过结肠镜检查发现了一个可能与之相关的绒毛管状腺瘤。

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本文引用的文献

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Should colonoscopy be performed in patients with cryptogenic liver abscess?隐匿性肝脓肿患者是否应行结肠镜检查?
Clin Res Hepatol Gastroenterol. 2013 Feb;37(1):86-92. doi: 10.1016/j.clinre.2012.03.037. Epub 2012 May 7.
2
Cryptogenic pyogenic liver abscess as the herald of colon cancer.以隐源性化脓性肝脓肿为先导的结肠癌。
J Gastroenterol Hepatol. 2012 Feb;27(2):248-55. doi: 10.1111/j.1440-1746.2011.06851.x.
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Surg Clin North Am. 2010 Aug;90(4):679-97. doi: 10.1016/j.suc.2010.04.004.
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Pyogenic liver abscess: recent trends in etiology and mortality.化脓性肝脓肿:病因及死亡率的近期趋势
Clin Infect Dis. 2004 Dec 1;39(11):1654-9. doi: 10.1086/425616. Epub 2004 Nov 9.

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