Miike Tadashi, Yamamoto Shojiro, Tahara Yoshihiro, Hasuike Satoru, Funagayama Mayumi, Maehara Naoki, Tanaka Hiroyuki, Akiyama Yutaka, Chijiiwa Kazuo, Shimoda Kazuya
Division of Gastroenterology and Hematology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki.
Nihon Shokakibyo Gakkai Zasshi. 2014 Jul;111(7):1376-83.
A 49-year-old woman visited a local hospital in October 2007 with complaint of fever and melena. Abdominal ultrasonography and abdominal computed tomography revealed an irregular mass in the lower abdomen, together with multiple masses in the liver. She was admitted because of anemia, and the high fever was determined to be an inflammatory response. Blood tests revealed elevated biliary enzyme levels. Percutaneous biopsy of the liver mass was performed, which revealed liver abscesses caused by Streptococcus constellatus. On abdominal angiography, the mass was suspected to be a tumor of the small intestine. In late November 2007, laparoscopy-assisted partial small bowel resection was performed, and pathological examination of the surgical specimen confirmed gastrointestinal stromal tumor (GIST) of the small bowel. Because reports of small intestinal GIST with liver abscesses caused by Streptococcus constellatus are rare, this case description could provide valuable information.
一名49岁女性于2007年10月因发热和黑便就诊于当地医院。腹部超声和腹部计算机断层扫描显示下腹部有一不规则肿块，同时肝脏有多个肿块。她因贫血入院，高热被确定为炎症反应。血液检查显示胆汁酶水平升高。对肝脏肿块进行了经皮活检，结果显示为星座链球菌引起的肝脓肿。腹部血管造影显示该肿块疑似小肠肿瘤。2007年11月下旬，进行了腹腔镜辅助部分小肠切除术，手术标本的病理检查证实为小肠胃肠道间质瘤（GIST）。由于星座链球菌引起肝脓肿的小肠GIST报道罕见，本病例描述可提供有价值的信息。
