Iarugskiĭ E E, Ashirmatov A E, Muradov D S, Shukhatovich E A
Klin Med (Mosk). 1990 Feb;68(2):104-7.
The diagnosis of hepatic abscesses in outpatients is accurate in hardly half of the cases. The rest of them are commonly taken for: acute cholecystitis, cholecystopancreatitis, pancreatitis, peritonitis, phlebitis of the splenic veins, intestinal obstruction, chronic enterocolitis, pneumonia, pleurisy. Misdiagnosis is usually attributed to the absence of pathognomonic symptoms and atypical course of a hepatic abscess. With right chest and hypochondrium pains of unknown origin and elevation of body temperature, diagnostic efforts should be directed to recognition of a hepatic abscess.
门诊患者肝脓肿的诊断准确率几乎不到一半。其余病例通常被误诊为：急性胆囊炎、胆胰炎、胰腺炎、腹膜炎、脾静脉炎、肠梗阻、慢性肠炎、肺炎、胸膜炎。误诊通常归因于缺乏肝脓肿的特征性症状以及病程不典型。对于不明原因的右胸和季肋部疼痛以及体温升高，诊断应着重于识别肝脓肿。
