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1. 化膿性肝膿瘍pyogenic liver abscess [show details]
… When pyogenic liver abscesses develop, it is most commonly following peritonitis due to leakage of intraabdominal bowel contents with subsequent spread to the liver via the portal circulation or in the …
2. 赤痢アメーバによる腸菅外アメーバ症extraintestinal entamoeba histolytica amebiasis [show details]
… prevention. Amebic liver abscess is the most common extraintestinal manifestation of amebiasis. Amebae establish hepatic infection by ascending the portal venous system . Amebic liver abscess (and other extraintestinal …
3. 肺炎桿菌による浸潤性肝膿瘍症候群invasive liver abscess syndrome caused by klebsiella pneumoniae [show details]
… . A minority of patients with primary liver abscess has concurrent evidence of or develops metastatic infection at other sites . Thrombophlebitis of the portal or hepatic venous systems could be a predisposing …
4. 炎症性腸疾患の肝症状hepatobiliary manifestations of inflammatory bowel disease [show details]
…intraabdominal abscesses or possibly due to portal pyemia with secondary seeding in the liver parenchyma. Successful management requires both drainage of the liver abscess, which can be performed percutaneously …
5. 限局性肝細胞癌への非外科的治療：動脈塞栓術、放射線治療、放射線塞栓療法nonsurgical therapies for localized hepatocellular carcinoma transarterial embolization radiation therapy and radioembolization [show details]
… (HCC). For patients with tumor thrombus involving the main portal vein or a major branch, with either no portal vein flow or reversal of portal vein flow, TACE ought to be avoided. Other options, such as …

English Journal

Partial Splenic Embolization Is a Safe and Effective Alternative in the Management of Portal Hypertension in Children.

Vittorio J, Orellana K, Martinez M, Ovchinsky N, Schlossberg P, Griesemer A, Lobritto S.
Journal of pediatric gastroenterology and nutrition. 2019 Jun;68(6)793-798.
There are multiple approaches to manage the clinical complications of portal hypertension (PHTN) to treat/prevent spontaneous hemorrhage by mitigating thrombocytopenia. No single approach is ideal for all patients given the heterogeneity of this population. Our goal was to determine whether partial
PMID 30908386

Portal vein stent for symptomatic malignant portal vein stenosis: A single-center experience.

Park JH, Yeo JH, Kim YS, Ahn HK, Sym S, Shin D, Hwang J, Park I, Kim JH.
Current problems in cancer. 2019 May;().
Malignant tumors around the portal vein (PV) can cause PV stenosis, and PV stent (PVS) placement may reduce symptoms. This study aimed to investigate the efficacy and safety of PVS for symptomatic malignant PV stenosis. Fourteen consecutive patients who underwent percutaneous transhepatic PVS placem
PMID 31078310

Percutaneous microwave ablation for HCV-related hepatocellular carcinoma: Efficacy, safety, and survival.

Darweesh SK, Gad AA.
The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology. 2019 May;30(5)445-453.
Hepatocellular carcinoma (HCC) has a poor prognosis if managed late. Percutaneous microwave ablation (MWA) emerged as one of the top therapeutic decisions for non-surgical patients. The aim of the present study aim was to evaluate the efficacy, side effects, and survival after MWA of hepatitis C vir
PMID 31060999

Japanese Journal

Clostridium difficile肝膿瘍の1例

松野鉄平,高田弘一,高梨訓博,勝木伸一,小船雅義,加藤淳二,田中信悟,宮西浩嗣,河野豊,中村元,坂本拡基,早坂尚貴,石川和真,村瀬和幸
肝臓 59(3), 180-186, 2018
症例は68歳，男性．発熱，心窩部痛を主訴に近医を受診し，肝膿瘍，播種性血管内凝固症候群（DIC），門脈血栓症と診断され当院へ転院となった．前医にてメロペネムが投与されるも改善傾向を認められなかったが，当院入院時の血液培養検査にてClostridium difficile（C. difficile）が検出さ …
NAID 130006581836

盲腸癌術後に肝膿瘍を併発した１例

樋口格,中村隆俊,佐藤武郎,内藤正規,山梨高広,筒井敦子,渡邊昌彦
日本外科系連合学会誌 42(6), 985-989, 2017
症例は68歳，女性．便潜血陽性を指摘され，大腸内視鏡検査で盲腸にTypeⅡ病変を認めた．生検結果はadenocarcinoma（tub1）であった．盲腸癌の診断で腹腔鏡下回盲部切除術を施行した．術後経過は良好で術後６病日に退院となった．術後２カ月に発熱を主訴に救急外来受診となった．腹部造影CT検査で肝S6，7，8を占拠するモザイク状のlow density areaを認め肝膿瘍と …
NAID 130007553611

肝実質転移を伴わないS状結腸癌術後門脈腫瘍栓の１切除例

井口友宏,藤也寸志,辻田英司,吉田大輔,太田光彦,南一仁,池部正彦,森田勝,伏見文良,田口健一
日本外科系連合学会誌 41(6), 975-980, 2017
症例は70歳，女性．S状結腸癌に対し，腹腔鏡下S状結腸切除術を施行した（中分化型腺癌，pT3N0M0，pStage Ⅱ）．術後，縫合不全・急性腹膜炎を合併し，人工肛門造設術を要した．術後９カ月目のCTで門脈右枝～末梢内腔が低吸収域として認め，門脈血栓を疑い抗凝固療法を開始した．経時的にfollowしたところ，門脈内低吸収域に変化はなく，右横隔膜下膿瘍の増大，右副腎の増大を認めた． …
NAID 130006294369