Hepatocellular carcinoma manifested as pyogenic liver abscess: A case report

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  • 肝膿瘍を契機に発見された肝細胞癌の1例
  • 症例報告 肝膿瘍を契機に発見された肝細胞癌の1例
  • ショウレイ ホウコク カン ノウヨウ オ ケイキ ニ ハッケン サレタ カン サイボウ ガン ノ 1レイ

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Abstract

We report a patient with hepatocellular carcinoma manifested as pyogenic liver abscess. A 73-year-old man had been aware of upper quadrant pain for ten days prior to admission. He was hospitalized for examination of a liver mass detected by ultrasound. Fever and leukocytosis were present on admission. Enhanced computed tomography showed low attenuation and rim enhancement in the left hepatic lobe with a diameter of 6 cm. Ultrasound-guided percutaneous biopsy and bacterial culture showed pyogenic liver abscess caused by multiple intestinal bacteria. The lesion had grown extrahepatically, but symptoms improved after antibiotic treatment. Lateral segmentectomy was performed, and a moderately differentiated hepatocellular carcinoma was found inside the pyogenic abscess. A few cases of hepatocellular carcinoma manifested as liver pyogenic abscess have been reported. Follow-up imaging examination is necessary given the possibility of hepatocellular carcinoma when providing medical treatment for an idiopathic liver abscess.

Journal

  • Kanzo

    Kanzo 56 (5), 186-193, 2015

    The Japan Society of Hepatology

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