Department of Radiology, Dicle University, Diyarbakir, Turkey.
Department of Radiology, Kütahya Health Sciences University, Kütahya, Turkey.
J Clin Ultrasound. 2024 Oct;52(8):1235-1239. doi: 10.1002/jcu.23765. Epub 2024 Jul 15.
Emphysematous hepatitis (EH) is a rare, insidious, rapidly progressing, and often fatal liver infection characterized by diffuse air in the liver parenchyma. While infectious parenchymal diseases can affect many intra-abdominal organs such as the kidney, urinary bladder, gall bladder, stomach, and pancreas, liver involvement is uncommon. Few cases of EH have been reported in the literature, with only four successfully treated. Diagnosis involves patient history, clinical and laboratory findings, and computed tomography. Treatment is challenging and requires close monitoring. This case report aims to enhance the understanding of EH's diagnosis and treatment in medical literature.
气肿性肝炎(EH)是一种罕见的、隐匿的、迅速进展的、常致命的肝脏感染,其特征为肝脏实质内弥漫性积气。虽然感染性实质疾病可影响许多腹腔内器官,如肾脏、膀胱、胆囊、胃和胰腺,但肝脏受累并不常见。EH 病例在文献中报道较少,仅有四例成功治疗。诊断需要结合患者病史、临床和实验室检查以及计算机断层扫描。治疗具有挑战性,需要密切监测。本病例报告旨在提高对 EH 诊断和治疗的认识。