• 제목/요약/키워드: Liver, abscess

검색결과 123건 처리시간 0.022초

A Case of Sudden Onset Septicemia in Recurred Gastric Cancer Following S1 Plus Docetaxel Treatment

  • Ishigami, Sumiya;Arigami, Takaaki;Uenosono, Yoshikazu;Uchikado, Yasuto;Kita, Yoshiaki;Sasaki, Ken;Okumura, Hiroshi;Kurahara, Hiroshi;Kijima, Yuko;Nakajo, Akihiro;Maemura, Kosei;Natsugoe, Shoji
    • Journal of Gastric Cancer
    • /
    • 제13권2호
    • /
    • pp.126-128
    • /
    • 2013
  • Pyogenic liver abscess in patients with malignant disease is a fatal state and is easily diagnosed. We presented a rare case of sudden fatal septicemia following anticancer treatment for recurred gastric cancer due to multiple liver abscesses which could not be diagnosed. A 72-year-old male with recurred gastric cancer received anticancer agents. He had a history of distal gastrectomy with right hepatic lobectomy for hepatic metastasis. He received anticancer treatment in the outpatient's service center periodically, and his performance status was preserved with nothing in particular. After administrating docetaxel, he suddenly developed septicemia and multiple organ failure and died 5 days after strong medical supports. Pathological autopsy revealed that multiple minute abscesses of the liver which could not be detected macroscopically were the causes of fatal septicemia. The etiology, therapies and prognosis of rare entity are being discussed.

Disease Progression-Associated Diagnostic and Treatment Procedure for a Dog with Hepatic Abscesses: A Case Report

  • Hyunji Lee;Sungwon Ann;Youngsam Kwon;Min Jang;Sangkwon Lee;Taeho Oh;Seulgi Bae
    • 한국임상수의학회지
    • /
    • 제39권6호
    • /
    • pp.360-365
    • /
    • 2022
  • A 15-year-old spayed female Yorkshire Terrier was presented to our hospital with a history of anorexia, depression and abdominal pain. Diagnostic procedures including blood test, radiography and ultrasonography were performed. Abdominal ultrasonography revealed multiple hypoechoic cysts in the left lobe of the liver. Over time, the cysts increased in size and became more echogenic. Four days later, the rupture of the largest cyst was suspected, and hepatic abscesses with bacteria were confirmed by aspiration of the cyst. Despite surgical resection of the abscessed liver lobe, antibiotic administration, and supportive therapy, the dog died 9 days after presentation to the hospital and 4 days after the surgical procedure. The present case report described the overall diagnostic and therapeutic approaches for liver abscesses in a dog.

다발 전이성 농양을 일으킨 편평상피세포암성 농양 1예 (A Case of Squamous Cell Carcinomatous Lung Abscess with Multiple Metastatic Abscesses)

  • 임주은;김은영;장지은;손지영;정지예;박병훈;이경종;윤여운;변민광;이사라;강영애;문진욱;박무석;김영삼;장준;박영년;김세규
    • Tuberculosis and Respiratory Diseases
    • /
    • 제66권5호
    • /
    • pp.390-395
    • /
    • 2009
  • 기관지폐쇄에 의한 폐농양 혹은 공동성 병변에 발생한 암성 농양은 임상 양상 및 방사선학적 소견이 흡인성 폐농양과 흡사하여 감별이 어려워서 폐암을 조기 진단할 수 있는 기회를 놓치기 쉽다. 따라서 항생제에 대한 반응이 뚜렷하지 않거나 선행 요인이 없고 비전형적인 위치에 발생한 폐농양의 경우 악성 병변의 동반 가능성을 염두에 두고 적극적인 검사가 필요하다. 저자들은 발열, 기침, 혈담, 호흡곤란을 주소로 내원하여 폐농양 의심하에 항생제 치료에도 불구하고 병변이 악화된 67세 남자 환자에서 간세침흡인생검을 통해 다발 전이성 농양을 일으킨 편평상피세포암성 농양으로 진단된 예가 있어 문헌 고찰과 함께 보고하는 바이다.

Hypereosinophilic Syndrome: CT Findings in Patients with Hepatic Lobar or Segmental Involvement

  • Jae Hoon Lim;Won Jae Lee;Dong Ho Lee;Kyung Jin Nam
    • Korean Journal of Radiology
    • /
    • 제1권2호
    • /
    • pp.98-103
    • /
    • 2000
  • Objective: The purpose of this study was to describe the CT findings of hepatic hypereosinophilic syndrome in which hepatic lobes or segments were involved. Materials and Methods: Seven patients with hypereosinophilic syndrome with hepatic lobar or segmental involvement were included in our study. In all seven, diagnosis was based on liver biopsy and the results of corticosteroid treatment. CT findings were retrospectively reviewed by three radiologists, who reached a consensus. Biopsy specimens were examined, with special reference to portal and periportal inflammation. Results: CT demonstrated well-defined, homogeneous or heterogeneous low attenuation with a straight margin limited to a hepatic lobe (n = 2), segments (n = 3), or subsegments (n = 2), particularly during the portal phase. Where there was subsegmental involvement, lesions were multiple, ovoid or wedge-shaped, and showed low attenuation. In two patients with lobar or segmental involvement, segmental portal vein narrowing was observed. Histopathologic examination disclosed eosinophilic infiltration in the periportal area, sinusoids and central veins, as well as portal phlebitis. Conclusion: Hypereosinophilic syndrome may involve the presence of hepatic lobar, segmental, or subsegmental low-attenuated lesions, as seen on CT images. Their presence may be related to damage of the liver parenchyma and to portal phlebitis.

  • PDF

국소성(局所性) 간병변(肝病變)에서 간(肝)스캔의 진단적(診斷的) 가치(價値)에 대한 분석(分析) (Evaluation of Liver Scintigraphy in Patients with Focal Liver Disease (S.O.L): An Analysis of Histologically Confirmed 401 Cases)

  • 이명철;정준기;조보연;고창순;송본철;관야지남
    • 대한핵의학회지
    • /
    • 제18권1호
    • /
    • pp.33-37
    • /
    • 1984
  • The accuracy of liver scanning was evaluated in 124 cases with primary or metastatic liver tumors, including a few benign localized lesions and in 277 cases without such lesions. All findings were histologically verified by operation or autopsy. 1) Of the 124 cases with space occupying lesions(SOLs) in the liver, 92 cases were detected by liver scan(sensitivity 74.2%). And of the 277 cases without such lesions, 266 cases were evaluated as no SOLs(specificity 96.0%). The overall accuracy was 89.3%. 2) The authors evaluated the liver scan sensitivity in each of different diseases with SOLs. The sensitivity was 88.9% in primary liver carcinoma, 82.4% in primary liver carcinoma with cirrhosis, 88.7% in liver abscess, and 100% in hemangioma. The sensitivity was low in metastatic tumor(65.8%). 3) The sensitivity of the SOLs in the right lobe was 53.3% and left lobe 27.7%. In the interlobar area, detectability was 41.7%. 4) The authors compared the sensitivity of the liver scan with the size of the SOLs. The smaller the size of the SOLs, the lower the detectability. In the pachy lesions, the sensitivity was 46.6%.

  • PDF

생후 25일 신생아에서 발생한 겸상인대 농양에 대한 최소 침습적 치료: 증례 보고 (Minimally Invasive Treatment of Falciform Ligament Abscess in a 25-Day-Old Neonate: A Case Report)

  • 이민아;이정섭;이무숙;김승형;이경렬;김윤주;강기수
    • 대한영상의학회지
    • /
    • 제79권5호
    • /
    • pp.271-275
    • /
    • 2018
  • 겸상인대는 원인대 및 배꼽정맥의 잔유물을 포함하는 구조물로서 배꼽에서 횡격막까지 이어지는 간의 걸이인대이다. 겸상인대에서 발견되는 인대 낭종, 종양, 비정상적인 혈관, 선천적 인대결손 같은 드물게 나타나는 병인 중에서도, 겸상인대 농양은 굉장히 드문 질환이다. 따라서 겸상인대 농양에 대한 정확한 진단은 어려우며, 총담관낭의 감염이나 간농양으로 잘못 해석하기 쉽다. 저자들은 생후 25일된 신생아에게서 배꼽 정맥 도관 삽입 후 발생한 겸상인대 농양에 경피적 배액 및 항생제 투여를 통해 성공적으로 치료된 증례를 보고하고자 한다.

Multiple liver infection by Sphingomonas sp. and Bacillus sp. in a wild rodent (Apodemus agrarius): a case report

  • Kim, Jiro;Monoldorova, Sezim;Kim, Soojin;Kim, Nam Kyung;Kim, Jinsol;Kim, Joon Hee;Jeon, Bo-Young
    • 한국동물위생학회지
    • /
    • 제40권1호
    • /
    • pp.71-74
    • /
    • 2017
  • The first case of liver infection caused by Sphingomonas sp. and Bacillus sp. in a wild rodent is reported. A captured wild rodent, Apodemus agrarius (A. agrarius), presented with multiple liver abscess-like nodules (diameter 0.7~2.4 mm) in which Gram-positive and Gram-negative bacilli were detected simultaneously. These were grown in aerobic and anaerobic cultures, respectively, and were identified as Sphingomonas sp. and Bacillus sp., respectively, according to 16S rRNA sequencing.

New tsaokoin isomer with antifungal activity from the plant Amomum tsao-ko

  • Lee, Ji-Young;Cho, Soon-Chang;Moon, Surk-Sik
    • 대한약학회:학술대회논문집
    • /
    • 대한약학회 2002년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2
    • /
    • pp.390.2-390.2
    • /
    • 2002
  • The fruits of cardamon (family Zingiberaceae) are used in traditional medicine for the treatment of several ailments. such as stomach disorders, liver abscess, and infection of the throat, and as a common spice as well, Amomum tsao-ko Crevost et Lemarie. a Zingiberaceous plant called "초과" in korea, is an oriental folk medicinal herb for the treatment of stomach illness. The present paper reports the isolation of the constituents of the fruits of this plant and their antifungal activity. (omitted)

  • PDF

흉막액의 임상적 고찰 (Clinical Evaluation of Pleural Effusion -Report of Cases-)

  • 이정희;임진수
    • Journal of Chest Surgery
    • /
    • 제26권5호
    • /
    • pp.384-389
    • /
    • 1993
  • A clinical analysis of pleural effusion was done on 100 patients who were between 5 and 67 years old. The etiologic diagnosis of pleural effusion at the time of discharge were pulmonary tuberculosis in 38 cases[38%],pneumonia in 20 cases[20%],lung carcinoma in 16 cases[16%],liver cirrosis in 9 cases[9%],congestive heart failure in 4 cases[4%],nephrosis in 3 cases[3%],Meig,s syndrom in 3 cases[3%].liver abscess 2 cases[2%],pancreatitis in 1 cases[1%] and other metastatic malignancy in 4 cases[4%]. Their chief complaints was chest pain in 89 cases[89%],dyspnea in 74 cases[74%],coughing in 46 cases[46%], fever in 13 cases[13%],weakness in 12 cases[12%] and dizziness in 11 cases[11%].

  • PDF