肝切除が有効であった急性白血病に併発した肝膿瘍の1例

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  • LIVER ABSCESS SUCCESSFULLY TREATED BY HEPATIC RESECTION IN A CASE OF ACUTE LEUKEMIA

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Liver abscess successfully treated by hepatic resection in a case of acute leukemia was reported in this paper. The case was a 33-year-old man. In the previous hospital, multiple liver and splenic abscesses were recognized after chemotherapy for acute myelomonocytic leukemia. The patient received various antibiotics and antifungal agents followed by splenectomy, but the liver abscess, almost localizing at the dome of liver, was still detected by CT and MRI. The patient was referred to our department. After partial hepatectomy, the clinical course was uneventful and inflammatory signs were improved. Liver abscess associating with leukemia is often multiple, and no clinical case of hepatic resection of liver abscess with acute leukemia has been reported. This case has suggested that such hepatic resection can be safely done in a stage of complete remission of leukemia. We think that hepatic resection should be an available alternative to conservative treatments for liver abscess associated with leukemia, if it offers resistance to the conservative ones.

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