香川 幸司¹, 坂之上 一史¹, 石井 敏雄², 菅澤 一子³

Kouji KAGAWA¹, Kazufumi SAKANOUE¹, Toshio ISHII², Kazuko SUGESAWA³

¹松江赤十字病院内科, ²松江赤十字病院放射線科, ³松江赤十字病院臨床検査室

¹Department of Internal Medicine, Matsue Red Cross Hospital, ²Department of Radiology, Matsue Red Cross Hospital, ³Department Clinical Laboratory, Matsue Red Cross Hospital

キーワード : Liver abscess, Ultrasound

A 62-year-old woman with meningitis and a hyperechoic liver abscess was reported. On admission, hyperechoic lesion was found with ultrasound in the right lobe of the liver. On the 7th hospital day, this lesion changed to a mixed pattern. On the same day, percutaneous drainage of the abscess was performed, and the patient, general condition improved dramatically thereafter. Ultrasonic diagnosis of liver abscess in it's early stage has not yet been established. When we examine the patients with infectious disease, the liver should be scanned carefully and if some lesions are found, they should be followed up by ultrasound because liver abscess is the most probable diagnosis.