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肝脏病变的诊断困难

Diagnostic difficulty of liver lesion.

作者信息

Pandiaraja Jayabal

机构信息

Department of General Surgery, SRM Medical College and Hospital, Chennai, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2016 Jul-Sep;5(3):722-724. doi: 10.4103/2249-4863.197290.

DOI:10.4103/2249-4863.197290
PMID:28217619
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5290796/
Abstract

Liver abscess is mostly either pyogenic or amebic. Fungal and mycobacterial liver abscesses are rare and mostly associated with immunosuppression. The occurrence of fungal liver abscess with hydatid cyst was never reported previously. This case created diagnostic difficulty, whether we are dealing with liver abscess or hydatid cyst. Sometimes, it may be possible that concurrent occurrence of hydatid cyst with liver abscess or hydatid cyst become infected and mimic like liver abscess.

摘要

肝脓肿大多为化脓性或阿米巴性。真菌性和分枝杆菌性肝脓肿较为罕见，且大多与免疫抑制有关。此前从未有关于真菌性肝脓肿合并包虫囊肿的报道。该病例造成了诊断困难，难以判断我们面对的是肝脓肿还是包虫囊肿。有时，可能会同时出现肝脓肿合并包虫囊肿的情况，或者包虫囊肿发生感染并类似肝脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b23/5290796/51d7057a2e0e/JFMPC-5-722-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b23/5290796/4235ffc59554/JFMPC-5-722-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b23/5290796/a032a7576728/JFMPC-5-722-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b23/5290796/fff286d650ae/JFMPC-5-722-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b23/5290796/51d7057a2e0e/JFMPC-5-722-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b23/5290796/4235ffc59554/JFMPC-5-722-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b23/5290796/a032a7576728/JFMPC-5-722-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b23/5290796/fff286d650ae/JFMPC-5-722-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b23/5290796/51d7057a2e0e/JFMPC-5-722-g004.jpg

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本文引用的文献

1
Hydatid Cyst of Liver Presented as Obstructive Jaundice in Pregnancy; Managed by PAIR.肝包虫囊肿在妊娠时表现为梗阻性黄疸；采用穿刺、抽吸、注射、再抽吸（PAIR）方法治疗。
J Clin Exp Hepatol. 2014 Dec;4(4):366-9. doi: 10.1016/j.jceh.2014.11.002. Epub 2014 Nov 26.
2
Pyogenic liver abscess caused by Salmonella Enteritidis: a rare case report.肠炎沙门氏菌引起的化脓性肝脓肿：一例罕见病例报告
Indian J Pathol Microbiol. 2014 Oct-Dec;57(4):632-4. doi: 10.4103/0377-4929.142715.
3
Humoural immune response and pathological analysis in patients with false immune diagnosis of cystic echinococcosis.
体液免疫反应及假免疫诊断包虫病患者的病理学分析。
Parasite Immunol. 2014 Apr;36(4):170-6. doi: 10.1111/pim.12096.
4
Immunoblotting with human native antigen shows stage-related sensitivity in the serodiagnosis of hepatic cystic echinococcosis.免疫印迹用人天然抗原在肝包虫病的血清学诊断中具有与分期相关的敏感性。
Am J Trop Med Hyg. 2014 Jan;90(1):75-9. doi: 10.4269/ajtmh.13-0341. Epub 2013 Dec 2.
5
Actinomyces naeslundii and Eikenella corrodens as rare causes of liver abscesses.内氏放线菌和啮蚀艾肯菌作为肝脓肿的罕见病因。
BMJ Case Rep. 2013 Jul 17;2013:bcr2013009613. doi: 10.1136/bcr-2013-009613.
6
Fungal liver abscess in an immunocompetent individual.免疫功能正常个体中的真菌性肝脓肿。
Trop Gastroenterol. 2012 Jul-Sep;33(3):232-3. doi: 10.7869/tg.2012.59.
7
Absence of brain involvement and factors related to positive serology in a prospective series of 61 cases with pulmonary hydatid disease.61例肺包虫病前瞻性系列研究中脑受累情况及血清学阳性相关因素分析
Am J Trop Med Hyg. 2008 Jul;79(1):84-8.
8
[IgG serum antibody responses in suspected liver cystic echinococcosis patients].[疑似肝囊型包虫病患者的IgG血清抗体反应]
Srp Arh Celok Lek. 2007 May-Jun;135(5-6):306-9. doi: 10.2298/sarh0706306r.