Ikeda Hirotaka, Ohta Ryuichi, Nishikura Nozomi, Ryu Yoshinori, Sano Chiaki
Community Care, Unnan City Hospital, Unnan, JPN.
Communiy Care, Unnan City Hospital, Unnan, JPN.
Cureus. 2022 Jan 11;14(1):e21137. doi: 10.7759/cureus.21137. eCollection 2022 Jan.
Diagnosing infectious hepatic cysts (IHCs) can be challenging. Moreover, patients with IHCs may present with various symptoms. Diagnosis of IHCs can be even more difficult in patients with multiple liver cysts. For appropriate diagnosis, the detection of infectious sections in the liver is essential. However, diagnosing and determining definite treatments for patients with IHCs can be particularly challenging when they have polycystic liver disease. We present a case of a 70-year-old man who visited a rural community hospital with a primary complaint of recurrent fever and pain in the right upper quadrant. Based on his clinical history, physical examination findings, and imaging findings after three admissions, he was diagnosed with IHCs. This case demonstrates the challenges in diagnosing IHCs in patients with multiple hepatic cysts and highlights the necessity of a careful follow-up of clinical histories and findings of definitive imaging tests in the diagnosis of IHCs in patients with recurrent fever. To diagnose IHCs effectively, a comprehensive approach including history taking, physical examination, and diagnostic testing, is essential. IHCs should be considered by physicians when patients present with recurrent fever. To avoid missing IHCs, physicians in outpatient departments should continuously follow up on patients' IHC-related symptoms such as fever and right upper quadrant pain.
诊断感染性肝囊肿（IHC）具有挑战性。此外，感染性肝囊肿患者可能会出现各种症状。对于患有多个肝囊肿的患者，感染性肝囊肿的诊断可能更加困难。为了进行准确诊断，检测肝脏中的感染部位至关重要。然而，当感染性肝囊肿患者患有多囊肝病时，对其进行诊断并确定确切的治疗方法可能特别具有挑战性。我们报告一例70岁男性病例，该患者因反复发热和右上腹疼痛为主诉就诊于一家农村社区医院。根据他的临床病史、体格检查结果以及三次入院后的影像学检查结果，他被诊断为感染性肝囊肿。该病例展示了在诊断患有多个肝囊肿的患者的感染性肝囊肿时所面临的挑战，并强调了在诊断反复发热患者的感染性肝囊肿时，仔细追踪临床病史和确定性影像学检查结果的必要性。为了有效诊断感染性肝囊肿，包括病史采集、体格检查和诊断性检查在内的综合方法至关重要。当患者出现反复发热时，医生应考虑感染性肝囊肿的可能性。为了避免漏诊感染性肝囊肿，门诊医生应持续追踪患者与感染性肝囊肿相关的症状，如发热和右上腹疼痛。
