{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679337014144.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.2995/jacsurg.19.123"}},{"identifier":{"@type":"NAID","@value":"110001377158"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2005176029"}}],"dc:title":[{"@language":"en","@value":"A case of hepatobronchial fistula"},{"@language":"ja","@value":"Ｈｅｐａｔｏｂｒｏｎｃｈｉａｌ　ｆｉｓｔｕｌａの一例"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"A 32 year-old man complained of fever and stomachache and was admitted to our hospital for further examination. Chest-abdominal CT showed a large mass of liver and liver abscess was susupected. Also pulmonary abscess was found and had a continuity with liver abscess. Percutaneous liver abscess drainage was performed and we drainaged “anchovy paste”-like pus from the abscess. Consequently we performed cavity enhancement and the contrast medium flowed into right lung and bronchus, and the diagnosis was hepatobronchial fistula. With the elevation of antibody against ameba, we diagnosed amebic liver abscess. After antibiotic treatment, we performed operation to resect the abscess and close the fistula. We made anetro-axial thoracotomy at the fifth intercostal space. The adhesion was not so strong, and middle lobectomy was performed. The fistula was already closed because of fibrosis due to the inflammation, so we covered there with pericardial fat pad. The patient recovered uneventfully after the operation. Hepatobronchial fistula is rarely seen in japan, and we report a case and review of the literature."},{"@language":"ja","@value":"症例は32歳男性. 発熱, 喀痰, 上腹部痛を主訴に当院内科を受診, CTで肝臓および肺内に空洞を伴う腫瘤を認めた. 肝膿瘍を疑い経皮ドレナージを施行し, 同時に空洞内の造影を行ったところ横隔膜を越えて気管支まで造影され, 肝気管支瘻と診断された. メトロニダゾールとフロモキセフを使用し炎症所見は改善したため, 肺膿瘍加療目的により当科転科となる. 肺病変部切除と瘻孔閉鎖を目的に開胸術を施行した. 手術は前方腋窩切開で開胸し, 病変の存在する中葉の切除を行った. 横隔膜からの瘻孔は癒着により閉鎖されており, その部分を脂肪織で被覆した. 術後は順調に経過し退院, 現在再発を認めず経過観察中である. 肝膿瘍による肝気管支瘻は本邦では稀な疾患であり, 抗生物質使用により炎症を沈静化し肺切除術を行いえた一例を経験したので報告する."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410009222252665474","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000022171518"}],"foaf:name":[{"@language":"en","@value":"Koba Takashi"},{"@language":"ja","@value":"木場 崇之"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiology, Kansai Electric Power Hospital"},{"@language":"ja","@value":"関西電力病院 呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222252665472","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000022171522"}],"foaf:name":[{"@language":"en","@value":"Okamoto Toshihiro"},{"@language":"ja","@value":"岡本 俊宏"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiology, Kansai Electric Power Hospital"},{"@language":"ja","@value":"関西電力病院 呼吸器科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009222252665473","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000022171525"}],"foaf:name":[{"@language":"en","@value":"Mizuno Hiroshi"},{"@language":"ja","@value":"水野 浩"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Respiology, Kansai Electric Power Hospital"},{"@language":"ja","@value":"関西電力病院 呼吸器科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09190945"},{"@type":"LISSN","@value":"09190945"},{"@type":"EISSN","@value":"18814158"},{"@type":"NCID","@value":"AN10467885"}],"prism:publicationName":[{"@language":"en","@value":"The Journal of the Japanese Association for Chest Surgery"},{"@language":"ja","@value":"日本呼吸器外科学会雑誌"},{"@language":"en","@value":"Jpn J Chest Surg"},{"@language":"en","@value":"The Journal of the Japanese Associtation for Chest Surgery"},{"@language":"en","@value":"The Journal of the Japanese Association for Chest Surgery"},{"@language":"ja","@value":"日呼外会誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Association for Chest Surgery"},{"@language":"ja","@value":"日本呼吸器外科学会"}],"prism:publicationDate":"2005","prism:volume":"19","prism:number":"2","prism:startingPage":"123","prism:endingPage":"127"},"reviewed":"false","url":[{"@id":"https://search.jamas.or.jp/link/ui/2005176029"}],"availableAt":"2005","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=amebic%20liver%20abscess","dc:title":"amebic liver abscess"},{"@id":"https://cir.nii.ac.jp/all?q=hepatobronchial%20fistula","dc:title":"hepatobronchial fistula"},{"@id":"https://cir.nii.ac.jp/all?q=middle%20lobectomy","dc:title":"middle lobectomy"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%82%A2%E3%83%A1%E3%83%BC%E3%83%90%E6%80%A7%E8%82%9D%E8%86%BF%E7%98%8D","dc:title":"アメーバ性肝膿瘍"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%82%9D%E6%B0%97%E7%AE%A1%E6%94%AF%E7%98%BB","dc:title":"肝気管支瘻"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%B8%AD%E8%91%89%E5%88%87%E9%99%A4%E8%A1%93","dc:title":"中葉切除術"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360292620572976128","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Hepatobronchial fistula caused by hydatid disease. The Dunedin experience 1952-79."}]},{"@id":"https://cir.nii.ac.jp/crid/1360574095645730688","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Bronchobiliary and Bronchopleural Fistulas"}]},{"@id":"https://cir.nii.ac.jp/crid/1360855569709149568","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Case report: Hepatobronchial fistula complicating amoebiasis, treated by percutaneous catheter drainage"}]},{"@id":"https://cir.nii.ac.jp/crid/1361418520442945280","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Hepatobronchial fistula with percutaneous pyogenic abscess drainage of the liver"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544419955544192","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Spontaneous Hepatobronchial Communications Preceding Pyothorax in a Patient with Suspected Liver Abscess"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544420022876416","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Sensitivity and Specificity of Early Diagnostic Tests of Lung Function in Smokers"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107370253103744","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"PLEUROBILIARY AND BRONCHOBILIARY FISTULAS"}]},{"@id":"https://cir.nii.ac.jp/crid/1363951795364532480","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Management of Complicated Hepatic Hydatid Cysts"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282679829450624","@type":"Article","relationType":["isCitedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A case of reccurent liver abscess with hepatobronchial fistula"},{"@value":"肝気管支瘻の形で再発をきたした肝膿瘍の1例"},{"@language":"ja-Kana","@value":"ショウレイ カン キカンシロウ ノ カタチ デ サイハツ オ キタシタ カン ノウヨウ ノ 1レイ"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0025032235"},{"@type":"CROSSREF","@value":"10.2995/jacsurg.19.123"},{"@type":"CIA","@value":"110001377158"}]}