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气肿性肝脓肿的多种表现:一家三级医疗中心4例病例的经验

Variable Presentations of Emphysematous Liver Abscesses: Experiences From Four Cases at a Tertiary Care Center.

作者信息

Ks Sukesh, Sonkar Abhinav A, Anand Akshay, Agarwal Manish Kumar, Gaurav Kushagra

机构信息

General Surgery, King George's Medical University, Lucknow, IND.

Surgery, King George's Medical University, Lucknow, IND.

出版信息

Cureus. 2024 Sep 11;16(9):e69200. doi: 10.7759/cureus.69200. eCollection 2024 Sep.

Abstract

Emphysematous liver abscesses usually present with fever and abdominal pain with radiological investigations showing air inside the abscess cavity and biochemical parameters suggestive of sepsis. This is a condition that needs urgent intervention, but it can present with variable presentations and the gas under the right dome of the diaphragm makes the diagnosis in dilemma, confusing it with hollow viscous perforation. Hereby we present a case series of variable presentations of emphysematous liver abscesses, successfully managed by timely intervention.

摘要

气肿性肝脓肿通常表现为发热和腹痛,影像学检查显示脓肿腔内有气体,生化指标提示存在败血症。这是一种需要紧急干预的疾病,但它的表现可能多种多样,且膈下右穹窿部的气体使得诊断陷入困境,容易与中空脏器穿孔相混淆。在此,我们报告一组气肿性肝脓肿的不同表现病例系列,经及时干预均成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a53/11469536/ad07563a0565/cureus-0016-00000069200-i01.jpg

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