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因破裂的阿米巴肝脓肿导致的胆汁性腹膜炎,酷似壶腹周围肿瘤和肝转移瘤,伴CA 19-9和CA 125升高:一例报告

Biliary Peritonitis due to a Ruptured Amebic Liver Abscess Mimicking a Periampullary Tumor and Liver Metastases with the Elevation of CA 19-9 and CA 125: A Case Report.

作者信息

Marin-Leiva Javiera, Jeri-Yabar Antoine, Hernandez Fernandez Wendy, Damian Bello Edwin

机构信息

aSchool of Medicine, Universidad Peruana de Ciencias Aplicadas, Lima, Peru.

bDepartment of Surgery, Hospital Nacional Dos de Mayo, Lima, Peru.

出版信息

GE Port J Gastroenterol. 2019 Mar;26(2):121-124. doi: 10.1159/000489721. Epub 2018 Jun 12.

Abstract

INTRODUCTION

An amebic liver abscess is the most common presentation of extraintestinal amebiasis. This condition is the result of a parasite infection caused by .

MATERIALS AND METHODS

We report a case of a 53-year-old male who presented with abdominal pain in the right upper quadrant, jaundice, and a 10-kg weight loss within a 1-month span.

RESULTS AND CONCLUSION

A wide range of symptoms and findings in the imaging tests suggestive of neoplasia, elevated levels of CA 19-9 and CA 125, and the presentation of biliary peritonitis as a complication makes this case a challenge for its approach and management.

摘要

引言

阿米巴肝脓肿是肠外阿米巴病最常见的表现形式。这种病症是由……引起的寄生虫感染导致的。

材料与方法

我们报告一例53岁男性病例,该患者在1个月内出现右上腹腹痛、黄疸及体重减轻10千克的症状。

结果与结论

影像学检查中出现一系列提示肿瘤形成的症状和表现、CA 19-9和CA 125水平升高,以及作为并发症出现的胆汁性腹膜炎,使得该病例在诊疗方法和管理上颇具挑战性。

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