腹膜炎を併発した感染性肝嚢胞の１例

• 北村 大介

  千葉中央メディカルセンター外科

• 大坊 昌史

  千葉中央メディカルセンター外科

• 松村 理史

  千葉中央メディカルセンター外科

書誌事項

タイトル別名

• A CASE OF INFECTIOUS HEPATIC CYST ASSOCIATED WITH PERITONITIS

抄録

An 86-year-old woman was admitted to the hospital because of periumbilical pain and abdominal distension, and, on the same day of admission, she was operated on with a suspicion of peritonitis and strangulated ileus. At surgery, retention of small quantities of purulent fluid was noted in the abdominal cavity, but no abnormalities were seen in the gastrointestinal tract. A hepatic cyst with fur was found in the S4 of the liver, and purulent fluid was aspirated by puncture of the cyst. From these findings, we diagnosed the case as paralytic ileus due to peritonitis associated with the infectious hepatic cyst, and performed drainage of the hepatic cyst and abdomen. Culture of the cystic fluid and ascites yielded only Klebsiella oxytoca. Fluoroscopic study of the cyst performed after surgery showed communication with the bile duct. The cyst became small and bacterial test gave negative result with infusion therapy with minocycline hydrochloride and intracystic drainage and irrigation. The patient was discharged from the hospital on the 73^rd hospital day. There have been no signs of increasing tendency in the cystic diameter up to now and the patient is followed in the outpatient's clinic.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 65 (10), 2728-2731, 2004

  日本臨床外科学会

キーワード

• 感染性肝嚢胞
• 腹膜炎

詳細情報

• CRID: 1390282679824507264
• NII論文ID: 10014056256
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.65.2728
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/10/65_10_2728/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004320628
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可