• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

双重麻烦：一例未经治疗的肝脓肿患者出现同步肝十二指肠和肝结肠瘘形成

Double Trouble: Synchronous Hepatoduodenal and Hepatocolic Fistulisation in a Case of Untreated Liver Abscess.

作者信息

Dadhich Saket, Vatvani Vijay, Chahal Hitakshi, Jain Richa, Khoja Hanuman R

机构信息

General Surgery, Sawai Man Singh Medical College, Jaipur, IND.

Radiology, Sawai Man Singh Medical College, Jaipur, IND.

出版信息

Cureus. 2024 Jul 1;16(7):e63633. doi: 10.7759/cureus.63633. eCollection 2024 Jul.

DOI:10.7759/cureus.63633
PMID:39092381
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11292087/
Abstract

A hepatic abscess is a potentially life-threatening condition that can lead to major complications if left untreated. One of the rarest complications of hepatic abscesses is rupture into adjacent organs like the duodenum, stomach, and colon. We report a case of an elderly male patient with a hepatic abscess that ruptured into the duodenum and colon, forming fistulous connections. To the best of our knowledge, this is the only reported case of hepatic abscess with simultaneous hepatoduodenal and hepatotoxic fistulas, confirmed radiologically and endoscopically. This report signifies the need for a high level of vigilance for extremely rare complications in relatively common conditions.

摘要

肝脓肿是一种潜在的危及生命的疾病，如果不治疗可能会导致严重并发症。肝脓肿最罕见的并发症之一是破裂进入相邻器官，如十二指肠、胃和结肠。我们报告一例老年男性患者，其肝脓肿破裂进入十二指肠和结肠，形成瘘管连接。据我们所知，这是唯一一例经放射学和内镜检查证实同时存在肝十二指肠瘘和肝结肠瘘的肝脓肿报告病例。本报告表明，对于相对常见疾病中的极其罕见并发症需要保持高度警惕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05af/11292087/84c13fa77612/cureus-0016-00000063633-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05af/11292087/a4c30cb07cef/cureus-0016-00000063633-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05af/11292087/84c13fa77612/cureus-0016-00000063633-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05af/11292087/a4c30cb07cef/cureus-0016-00000063633-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05af/11292087/84c13fa77612/cureus-0016-00000063633-i02.jpg

相似文献

1
Double Trouble: Synchronous Hepatoduodenal and Hepatocolic Fistulisation in a Case of Untreated Liver Abscess.双重麻烦：一例未经治疗的肝脓肿患者出现同步肝十二指肠和肝结肠瘘形成
Cureus. 2024 Jul 1;16(7):e63633. doi: 10.7759/cureus.63633. eCollection 2024 Jul.
2
Amebic liver abscess with hepatoduodenal fistula.
Am J Gastroenterol. 1987 Jun;82(6):558-9.
3
Case report: amoebic liver abscess complicated by a hepatoduodenal fistula.
Clin Radiol. 1992 Aug;46(2):142-3. doi: 10.1016/s0009-9260(05)80324-1.
4
A case of hepatocolic fistula after percutaneous drainage for a gas-containing pyogenic liver abscess.
J Gastroenterol. 1994 Dec;29(6):782-5. doi: 10.1007/BF02349288.
5
Hepato-bronchial fistula secondary to perforated sigmoid diverticulitis: a case report.乙状结肠憩室炎穿孔继发肝支气管瘘：一例报告
J Med Case Rep. 2017 Apr 13;11(1):106. doi: 10.1186/s13256-017-1270-y.
6
Ruptured hepatic abscess caused by fish bone penetration of the duodenal wall: report of a case.鱼骨穿透十二指肠壁致肝脓肿破裂：1例报告
Surg Today. 2007;37(11):1018-21. doi: 10.1007/s00595-007-3524-6. Epub 2007 Oct 25.
7
Spontaneous fistulisation and drainage of a pyogenic liver abscess into the stomach in an adult patient with sickle cell disease.一名患有镰状细胞病的成年患者发生化脓性肝脓肿自发瘘管形成并排入胃内。
BMJ Case Rep. 2016 Mar 14;2016:bcr2015213735. doi: 10.1136/bcr-2015-213735.
8
Hepatoduodenal fistula formation following transcatheter arterial chemoembolization and radiotherapy for hepatocellular carcinoma: treatment with endoscopic Histoacryl injection.经导管动脉化疗栓塞术和放射治疗肝细胞癌后肝十二指肠瘘的形成：内镜下注射组织黏合剂治疗
Korean J Intern Med. 2014 Jan;29(1):101-5. doi: 10.3904/kjim.2014.29.1.101. Epub 2014 Jan 2.
9
Hepatocolic fistula: a rare presentation of pyogenic liver abscess.肝结肠瘘：化脓性肝脓肿的一种罕见表现。
BMJ Case Rep. 2017 Mar 8;2017:bcr2016219141. doi: 10.1136/bcr-2016-219141.
10
Unusual complication of amebic liver abscess: Hepatogastric fistula.阿米巴肝脓肿的罕见并发症：肝胃瘘。
World J Gastrointest Endosc. 2015 Jul 25;7(9):916-9. doi: 10.4253/wjge.v7.i9.916.

本文引用的文献

1
Hepato-Duodenal Fistula Complicating a Pyogenic Liver Abscess: An Unusual Presentation.肝十二指肠瘘并发化脓性肝脓肿：一种不寻常的表现。
Cureus. 2020 Dec 23;12(12):e12236. doi: 10.7759/cureus.12236.
2
Hepatogastric fistula as a rare complication of pyogenic liver abscess.肝胃瘘作为化脓性肝脓肿的一种罕见并发症。
Clin Mol Hepatol. 2017 Mar;23(1):87-90. doi: 10.3350/cmh.2016.0029. Epub 2017 Mar 9.
3
Hepatocolic fistula: a rare presentation of pyogenic liver abscess.肝结肠瘘：化脓性肝脓肿的一种罕见表现。
BMJ Case Rep. 2017 Mar 8;2017:bcr2016219141. doi: 10.1136/bcr-2016-219141.
4
Citrobacter koseri: an unusual cause of pyogenic liver abscess.科氏柠檬酸杆菌：化脓性肝脓肿的罕见病因。
BMJ Case Rep. 2013 Mar 15;2013:bcr2013008974. doi: 10.1136/bcr-2013-008974.
5
Hepatogastric fistula in a pediatric patient.
Pediatr Surg Int. 2006 Oct;22(10):853-5. doi: 10.1007/s00383-006-1743-3. Epub 2006 Aug 5.
6
Features distinguishing amoebic from pyogenic liver abscess: a review of 577 adult cases.区分阿米巴肝脓肿与化脓性肝脓肿的特征：577例成人病例回顾
Trop Med Int Health. 2004 Jun;9(6):718-23. doi: 10.1111/j.1365-3156.2004.01246.x.
7
Complications of pyogenic hepatic abscess: computed tomography and clinical features.
J Comput Assist Tomogr. 2004 May-Jun;28(3):311-7. doi: 10.1097/00004728-200405000-00002.
8
Ascending cholangitis as a cause of pyogenic liver abscesses complicated by a gastric submucosal abscess and fistula.
J Clin Gastroenterol. 2000 Apr;30(3):317-20. doi: 10.1097/00004836-200004000-00024.
9
The variable CT appearance of hepatic abscesses.肝脓肿的CT表现多样。
AJR Am J Roentgenol. 1984 May;142(5):941-6. doi: 10.2214/ajr.142.5.941.
10
Intra-abdominal abscesses.腹腔内脓肿
Am J Surg. 1973 Jan;125(1):70-9. doi: 10.1016/0002-9610(73)90010-x.