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Journal of Medical Ultrasonics

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2001 - Vol.28

Vol.28 No.06

Case Report(症例報告)

(J933 - J937)


A Case of Liver Abscess Evaluated by Contrast Harmonic Imaging with Levovist: Usefulness in Diagnosis and Follow-up Study

伊集院 裕康1, 小野 尚文1, 橋本 浩2, 小無田 美菜1, 原田 理子1, 板野 哲1, 松垣 諭1, 神代 龍吉1, 平井 賢治3, 佐田 通夫1

Hiroyasu IJUIN1, Naofumi ONO1, Hiroshi HASHIMOTO2, Mina KOMUTA1, Riko HARADA1, Satoshi ITANO1, Satoru MATUGAKI1, Ryukichi KUMASHIRO1, Kenji HIRAI3, Michio SATA1

1久留米大学医学部第二内科, 2GE横河メディカルシステム, 3平井内科

1Second Department of Internal Medicine, Kurume University School of Medicine, 2GE Yokogawa Medical Systems, Ltd., 3Hirai Medical Clinic

キーワード : double target sign, harmonic ultrasonography, Levovist, liver abscess

The patient was a 62-year-old woman who complained of fever. Abdominal echography revealed a hypoechoic area in the S 8 area of the liver. The hypoechoic area measured 50x45 mm across and had an ill defined border. The patient, s C reactive protein level was strongly elevated on admission. Contrast harmonic echography with Levovist in the early phase showed a double target sign, suggesting liver abscess. Similar findings were demonstrated by contrast-enhanced CT scan. Intravenous administration of an antibiotics reduced the fever and inflammatory reactions, and reduced the size of the liver abscess. Contrast harmonic echography with Levovist was useful in the diagnosis and follow-up of liver abscess.