Abstract
Liver cysts are commonly observed, but infection of a liver cyst is a rare complication. Although patients have clinical symptoms, such as a high-grade fever and abdominal pain, diagnosing an infected cyst by abdominal ultrasonography, computed tomography (CT) with contrast medium and magnetic resonance imagings (MRI) is not always easy. We experienced an unusual case who had only clinical symptoms, such as high-grade fever and a right quadrant abdominal pain, but no imaging findings when admitted. Careful observation using ultrasonography once a week revealed signs of an infected cyst containing echogenic fluid 32 days after admission. We performed percutaneous transhepatic cystic drainage. When a patient has liver cysts and complains of high-grade fever and abdominal pain, liver cysts should be considered as a focus of sepsis, and we recommend repeat use of ultrasonography or CT, even if no typical findings occur the first time. (C) 2000 Lippincott Williams and Wilkins.
| Original language | English |
|---|---|
| Pages (from-to) | 703-705 |
| Number of pages | 3 |
| Journal | European Journal of Gastroenterology and Hepatology |
| Volume | 12 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jan 1 2000 |
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All Science Journal Classification (ASJC) codes
- Hepatology
- Gastroenterology
Cite this
Infected hepatic cyst in a patient with multiple hepatic cysts : Report of a case diagnosed by change of ultrasonographic findings. / Shoji, Fumihiro; Kitamura, Masayuki; Shirabe, Ken; Kai, Hidenobu; Akiyoshi, Tsuyoshi; Sugimachi, Keizo.
In: European Journal of Gastroenterology and Hepatology, Vol. 12, No. 6, 01.01.2000, p. 703-705.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Infected hepatic cyst in a patient with multiple hepatic cysts
T2 - Report of a case diagnosed by change of ultrasonographic findings
AU - Shoji, Fumihiro
AU - Kitamura, Masayuki
AU - Shirabe, Ken
AU - Kai, Hidenobu
AU - Akiyoshi, Tsuyoshi
AU - Sugimachi, Keizo
PY - 2000/1/1
Y1 - 2000/1/1
N2 - Liver cysts are commonly observed, but infection of a liver cyst is a rare complication. Although patients have clinical symptoms, such as a high-grade fever and abdominal pain, diagnosing an infected cyst by abdominal ultrasonography, computed tomography (CT) with contrast medium and magnetic resonance imagings (MRI) is not always easy. We experienced an unusual case who had only clinical symptoms, such as high-grade fever and a right quadrant abdominal pain, but no imaging findings when admitted. Careful observation using ultrasonography once a week revealed signs of an infected cyst containing echogenic fluid 32 days after admission. We performed percutaneous transhepatic cystic drainage. When a patient has liver cysts and complains of high-grade fever and abdominal pain, liver cysts should be considered as a focus of sepsis, and we recommend repeat use of ultrasonography or CT, even if no typical findings occur the first time. (C) 2000 Lippincott Williams and Wilkins.
AB - Liver cysts are commonly observed, but infection of a liver cyst is a rare complication. Although patients have clinical symptoms, such as a high-grade fever and abdominal pain, diagnosing an infected cyst by abdominal ultrasonography, computed tomography (CT) with contrast medium and magnetic resonance imagings (MRI) is not always easy. We experienced an unusual case who had only clinical symptoms, such as high-grade fever and a right quadrant abdominal pain, but no imaging findings when admitted. Careful observation using ultrasonography once a week revealed signs of an infected cyst containing echogenic fluid 32 days after admission. We performed percutaneous transhepatic cystic drainage. When a patient has liver cysts and complains of high-grade fever and abdominal pain, liver cysts should be considered as a focus of sepsis, and we recommend repeat use of ultrasonography or CT, even if no typical findings occur the first time. (C) 2000 Lippincott Williams and Wilkins.
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U2 - 10.1097/00042737-200012060-00022
DO - 10.1097/00042737-200012060-00022
M3 - Article
C2 - 10912493
AN - SCOPUS:0033946870
VL - 12
SP - 703
EP - 705
JO - European Journal of Gastroenterology and Hepatology
JF - European Journal of Gastroenterology and Hepatology
SN - 0954-691X
IS - 6
ER -