A Case of Hutch's Diverticulum Associated with Severe Bilateral Vesicoureteral Reflux.
- Author:
Jong Su SHIN
;
Yu Sik JEON
;
Chang Soo RA
;
Gun Young JEONG
;
Gyu Young YEUM
- Publication Type:Case Report
- Keywords:
Breast;
Fibroadenoma;
Infarction;
Imprint cytology
- MeSH:
Actinomycosis;
Adult;
Bacteria;
Biopsy, Fine-Needle;
Breast;
Carcinoma, Hepatocellular;
Diverticulum*;
Drainage;
Fibroadenoma;
Flank Pain;
Gallbladder;
Humans;
Infarction;
Liver;
Monocytes;
Neutrophils;
Penicillins;
Physical Examination;
Vesico-Ureteral Reflux*;
Weight Loss
- From:Journal of the Korean Society of Pediatric Nephrology
1998;2(1):86-89
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a case of primary hepatic actinomycosis which was initially diagnosed by means of fine needle aspiration. The patient was a 31-year-old emaciated man with a 2-month history of 10 kg weight loss, right upper quadrant pain and flank pain. The liver was palpable and tender on physical examination. Computerized tomography scan of the liver showed two ill-defined hypodense masses in gallbladder fossa and inferior pole of right lobe. Hepatocellular carcinoma was clinically suspected. A CT-guided fine needle aspiration was performed. Microscopically, smears showed numerous radiating clusters of filamentous bacteria with many neutrophils and monocytes in necrotic background. The symptoms were improved by incision and drainage and massive administration of penicillin.
