術前診断に苦慮した直腸癌併存肝膿ようの１例

• 遠藤 文庫

  東京都立大塚病院外科 東京医科歯科大学腫瘍外科学分野

• 吉村 哲規

  東京都立大塚病院外科

• 村山 忠雄

  東京都立大塚病院外科

• 水口 博之

  東京都立大塚病院外科

• 岡村 孝

  東京都立大塚病院外科

• 杉原 健一

  東京医科歯科大学腫瘍外科学分野

書誌事項

タイトル別名

• A CASE REPORT OF RECTAL CANCER WITH LIVER ABSCESS DIAGNOSED WITH DIFFICULTIES BEFORE SURGERY

抄録

We experienced a case of liver abscess, which was difficult to be differentiated from malignant liver tumor before surgery.<br> A 73-year-old woman complaining of poor appetite, who had a history of surgery for a giant liver cyst, was introduced to the hospital because of a large liver mass. When she was admitted, her general condition was good with normal body temperature, and she had no abdominal symptoms. CT and magnetic resonance imaging scans revealed a polycystic liver mass with a thickened wall and septum enhanced. Angiography revealed tumor staining, encasement of the right hepatic artery and artery-portal vein shunt. Colonoscopy and barium enema examination disclosed rectal cancer. The liver mass was suspected to be malignant tumor, liver cystadenocarcinoma, metastatic tumor, or hepatocellular carcinoma. A low anterior resection of the rectum and a right anterior segmentectomy of the liver were performed. Histopathological examination showed no malignant cells in the liver mass and Klebsiella. pneumoniae was cultured from the pus. The definite diagnosis of liver abscess was made.

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 66 (5), 1139-1145, 2005

  日本臨床外科学会

キーワード

• liver abscess
• colon cancer
• liver adenocarcinoma

詳細情報

• CRID: 1390001204846816896
• NII論文ID: 10016685994
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.66.1139
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/66/5/66_5_1139/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005165047
• 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