Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
A Case of an Infected Liver Cyst Associated with Cholangitis and Cholecystitis
Yasuhiro ItoTomoyuki IrinoTomohisa EgawaShinobu HayashiAtsushi NagashimaTakeshi KenmochiMitsuhide Kitano
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2012 Volume 32 Issue 1 Pages 101-104

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Abstract
Liver cysts are a common disease without symptoms and clinical problems. We report on a case of an infected liver cyst associated with cholangitis and cholecystitis. A 74-year-old woman visited our hospital with fever, right hypochondrial pain and abdominal compression. Abdominal ultrasonography and enhanced CT revealed an infected liver cyst, cholangitis and cholecystitis. We performed an endoscopic retrograde cholangiopancreatography and stenting, and the patients symptoms rapidly improved. On day two after the admission, she had a fever of 38°C and upper abdominal pain. Percutaneous transhepatic drainage of the cyst was therefore performed. A catheter was inserted into the cyst. The symptoms resolved and the patient left our hospital on day four after the drainage. We remove a drainage catheter because of no fever and pain. An infected liver cyst is rare and the process of infection in these cysts is not clear. We therefore suggest further study in many cases.
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© 2012 Japanese Society for Abdominal Emergency Medicine
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