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英文誌(2004-)

Journal of Medical Ultrasonics

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1988 - Vol.15

Vol.15 No.01

Case Report(症例報告)

(0079 - 0082)

高エコー像を呈した肝膿瘍の1例

Hyperechoic Liver Abscess in a Patient with Meningitis -Trends of Ultrasonic Findings-

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.