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新诊断的特发性肝脓肿:需要进行结肠镜检查!

Newly Diagnosed Idiopathic Liver Abscess: Colonoscopy Required!

作者信息

Makkar Priyanka, Sunkara Tagore, Jhaveri Manan, Berger Judith, Gaduputi Vinaya, Babich Jay P

机构信息

Department of Internal Medicine, Division of Gastroenterology and Hepatology, Division of Infectious Diseases, SBH Health System, 4422 Third Ave, Bronx, NY 10457, USA.

Division of Gastroenterology and Hepatology, The Brooklyn Hospital Center, Clinical Affiliate of The Mount Sinai Hospital, 121 Dekalb Ave, Brooklyn, NY 11201, USA.

出版信息

J Clin Med Res. 2017 Nov;9(11):962-964. doi: 10.14740/jocmr3184w. Epub 2017 Oct 2.

DOI:10.14740/jocmr3184w
PMID:29038677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5633100/
Abstract

Liver abscess is the most common type of visceral abscess reported in the United States. Biliary tract disease is the most common cause of the development of liver abscess. In the last decade, many cases of liver abscesses silently manifesting as colon cancer have been reported in East Asian countries. We herein describe a case of an immunocompetent man who immigrated from East Africa to Unites States and presented with a suspicion of colon mass with metastasis to the liver, and who was later diagnosed to have a colonic malignancy with a concomitant liver abscess. Our aim was to make clinicians aware of the importance of ruling out occult colonic malignancy in patients with idiopathic liver abscess.

摘要

肝脓肿是美国报告的最常见的内脏脓肿类型。胆道疾病是肝脓肿形成的最常见原因。在过去十年中,东亚国家报告了许多隐匿表现为结肠癌的肝脓肿病例。我们在此描述一例免疫功能正常的男性病例,该患者从东非移民到美国,因怀疑结肠肿物伴肝转移就诊,后来被诊断为结肠恶性肿瘤合并肝脓肿。我们的目的是让临床医生意识到在特发性肝脓肿患者中排除隐匿性结肠恶性肿瘤的重要性。

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引用本文的文献

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A case of transverse colon cancer with a large liver abscess that could be treated with a radical operation after infection control.一例横结肠癌合并巨大肝脓肿患者,经控制感染后可行根治性手术治疗。
Int J Surg Case Rep. 2020;77:182-186. doi: 10.1016/j.ijscr.2020.10.122. Epub 2020 Nov 4.

本文引用的文献

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CDC Grand Rounds: the future of cancer screening.美国疾病控制与预防中心大查房:癌症筛查的未来
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Global cancer statistics, 2012.全球癌症统计数据,2012 年。
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Increased incidence of gastrointestinal cancers among patients with pyogenic liver abscess: a population-based cohort study.化脓性肝脓肿患者胃肠道癌症发病率增加:一项基于人群的队列研究。
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Entamoeba histolytica antigenic protein detected in pus aspirates from patients with amoebic liver abscess.从肝脓肿患者脓液抽吸物中检测到溶组织内阿米巴抗原蛋白。
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Higher rate of colorectal cancer among patients with pyogenic liver abscess with Klebsiella pneumoniae than those without: an 11-year follow-up study.化脓性肝脓肿合并肺炎克雷伯菌感染的患者比未合并肺炎克雷伯菌感染的患者结直肠癌发病率更高:一项为期 11 年的随访研究。
Colorectal Dis. 2012 Dec;14(12):e794-801. doi: 10.1111/j.1463-1318.2012.03174.x.
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[Pyogenic liver abscess: clinical presentation and predictors of unfavorable outcome].[化脓性肝脓肿:临床表现及不良预后的预测因素]
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Occult colon cancer in a patient with diabetes and recurrent Klebsiella pneumoniae liver abscess.一名患有糖尿病且反复发生肺炎克雷伯菌肝脓肿的患者的隐匿性结肠癌。
Kaohsiung J Med Sci. 2009 Feb;25(2):98-103. doi: 10.1016/S1607-551X(09)70048-8.
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Intra-abdominal abscesses.腹腔内脓肿
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