1.Application ultrasound technique for diagnosis and diagnostic differentiation of liver tumors and abscesses at 107 Tran Hung Dao Clinic
Journal of Practical Medicine 2002;435(11):45-46
142 patients underwent diagnostic ultrasonography. Out of these, 100 patients have liver tumor and 42 have liver abscess. The prevalence is higher in male than in female and higher in 20-60 years of old than in other age groups. Liver tumor and abscess are more likely to be seen in right lobe than in left lobe with size of 5-10cm (55.7%). For liver abscess, sound reduction is more common (25.03%), while for liver tumor, sound combination and mixes are common types.
ultrasonography
;
Liver Abscess
;
diagnosis
;
Liver Neoplasms
2.Vascular Nature of Liver Abscess Examined with Computed Tomography: Separated Identification of the Four Layers and Difference According to the Various Factors of Abscess.
Jae Chun CHANG ; Hyun Cheol CHO ; Jung Kon KOH
Journal of the Korean Radiological Society 1994;31(2):321-326
PURPOSE: To identify the four layers based on intranodular vascular nature visible in multiphase incremental bolus dynamic CT and to determine any differential points according to various factors of liver abscess with this vascular nature or not. MATERIALS AND METHODS: We categonized 29 cases of confirmed liver abscess into three different groups according to presence of four layers visible in early phase(arterial phase) of CT. Three groups were compared in regard to the results of antiamebic antibody test and bacteriologic study and presense of cholangitic abscess and internal septation. RESULTS: We could separate four layers, innermost hypodense central cavitary lesion, hyperdense granular tissue, hypodense abscess wall and outermost hyperdense compensatory hypervascular zone in 18 cases(62%), only two layers, cavity and wall in six cases(21%), and characteristically we could find three layers without innermost cavitary lesion in five cases(17%). But we couldn't find significant correlations between various clinical factors of liver abscess and our vascular groups. CONCLUSION: Our method of CT could represent four layers based on vascularity in 62% of cases. And also could find the unusual inflammatory mass containing three layer which must be differentiated from other malignant solid mass. But we couldn't find differential point between various clinical factor of liver abscess and imaging diagnosis. We think that with the improvement of hardware such as spiral CT, identification of four layers will be earier and will be very helpful in early detection and proper treatment planning of liver abscess.
Abscess*
;
Diagnosis
;
Liver Abscess*
;
Liver*
;
Tomography, Spiral Computed
3.Ultrasonographic findings of liver abscess
Dong Wook SUNG ; Han Soo RYU ; Young Tae KO ; Jae Hoon LIM ; Yup YOON ; Soon Yong KIM
Journal of the Korean Radiological Society 1983;19(2):430-437
Although many papers concerning the ultrasonographic findings of liver abscess have been appeared, there is afew literatures for the analysis of its echognic patterns. Twenty-nine cases of surgically proven liver abscesswere studied by ultrasonography in our hospital during recent 3 years. The results were as follows: 1.Ultrasonography permitted correct diagnosis in 26 of 29 patients with sensitivity 90%. 2. All the 7 cases ofamebic abscess were single lesions and 6 cases of them were distributed in the right lobe of liver, while pyogenicabscesses showed single or multiple lesions. It was very difficult to distinguish pyogenic abscess from amebicabscess in cases of single lesion. 3. It was impossible to differentiate pyogenic abscess from amebic abscess bythe echopattern of abscess wall and internal echogenicity. 4. The wall of obscess was ill-defined in the majority,and internal echogenecity of abscess was variable although weak internal echogenecity was more comon. 5. Theechopattern of abscess was gradually converted to echolucent or hypoechoic area with weak internal echoes infollowing up study. 6. Clinical findings and ultrasonic findings should be carefully analysed to secure correctdiagnosis of there is any possibility of co-existing necrotizing metastatic lesion.
Abscess
;
Amebiasis
;
Diagnosis
;
Humans
;
Liver Abscess
;
Liver
;
Ultrasonics
;
Ultrasonography
4.Eosinophilic organ infiltration without eosinophilia or direct parasite infection.
Il Young JANG ; Young Joo YANG ; Hyung Jin CHO ; Yunsik CHOI ; Eun Hye SHIN ; Dong Uk KANG ; Tae Bum KIM
The Korean Journal of Internal Medicine 2014;29(1):126-129
No abstract available.
Eosinophilia/*diagnosis
;
Female
;
Humans
;
Liver Abscess/*diagnosis/immunology
;
Middle Aged
5.The characteristics of the five cases of hepatic eosinophilic abscess.
Youn Jae LEE ; Ok Joo LEE ; Jin Ho SONG ; Yeun Sik JANG ; Sang Hyuk LEE ; Sang Yong SEOL ; Jung Myung CHUNG ; Sang Suk HAN ; Ha Jin CHOI
Korean Journal of Medicine 1998;54(2):253-260
Hepatic eosinophilic abscess is a very rare disease which has been reported in fascioliasis, and some gastrointestinal malignancy. We experienced 5 cases with hepatic eosinophilic abscesses which were caused by unknown etiology, confirmed by liver biopsy, from 1990 to 1994. The chracteristics of the cases including clinical menifestations, serologic findings, ultrasonography and abdominal computerizes tomogram(CT) were summerized. They had no characteristic findings except eosinophilia in clinical menifestations and they showed various ultrasonographic and CT findings which are different from the radiologic findings of liver abscesses by bacterial or amebic infection. We think that hepatic eosinophilic abscess must be included in differential diagnosis of all hepatic tumors.
Abscess*
;
Biopsy
;
Diagnosis, Differential
;
Eosinophilia
;
Eosinophils*
;
Fascioliasis
;
Liver
;
Liver Abscess
;
Rare Diseases
;
Ultrasonography
6.Amebic liver abscesses resulting in diagnosis of human immunodeficiency virus infection.
Seok Weon KIM ; Hyeok Choon KWON ; Seung Woo NAM ; Jong Kyung CHOI ; Joo Won CHUNG ; Dong Won JANG ; Soo Yoen PARK
Yeungnam University Journal of Medicine 2017;34(1):96-100
Amebic liver abscess (ALA) is the most common extraintestinal manifestation of amebiasis. Amebiasis, a parasitic infection caused by Entamoeba histolytica, used to be a prevalent protozoan disease in Korea, however, with an improving sanitary system, it has been among very uncommon etiology of liver abscess. A recent report suggested that ALA is an emerging parasitic infection in human immunodeficiency virus (HIV)-infected patients even in areas where the disease is not endemic and recommended HIV screening in patients in areas where ALA is not endemic, particularly those without history of travel to a disease-endemic area. We report on two patients who were admitted for treatment of ALA and then diagnosed as HIV infection. We also reviewed the etiology and characteristics of ALA in our hospital during the last 5 years.
Amebiasis
;
Diagnosis*
;
Entamoeba histolytica
;
HIV Infections
;
HIV*
;
Humans*
;
Korea
;
Liver Abscess
;
Liver Abscess, Amebic*
;
Mass Screening
7.Laparoscopy-assisted Hepatic Resection in a Patient with Eosinophilic Liver Abscess by Toxocaris Cani Involving Liver.
Kyu Eun LEE ; Kyung Suk SUH ; Nam Joon LEE ; Seong Hwan CHANG ; Seokho CHOI ; Seong Hoon KIM ; Kuhn Uk LEE
Journal of the Korean Surgical Society 2003;64(3):261-265
The laparoscopy-assisted hepatic resection has been introduced for solitary benign or malignant hepatic tumors. We successfully had undergone left lateral sectionectomy with assistance of laparoscopy. Forty-three year old male patient was admitted for diagnosis of liver mass. Abdominal computed tomography showed a 2 cm sized single nodular tumor in segment 3 which was consistent with hepatoma. He underwent laparoscopy-assisted left lateral sectionectomy using Cavitron Ultrasonic Surgical Aspirator and Ultrasonic Shears. The patient discharged without any complications in the 8th postoperative day. The pathologic findings of nodule were consistent with the eosinophilic abscess of liver. Left lateral sectionectomy of liver can be conducted safely with assistance of laparoscopy.
Abscess
;
Carcinoma, Hepatocellular
;
Diagnosis
;
Eosinophils*
;
Humans
;
Laparoscopy
;
Larva Migrans, Visceral
;
Liver Abscess*
;
Liver*
;
Male
;
Toxocariasis
;
Ultrasonics
8.Rapidly Fatal Emphysematous Osteomyelitis with Multiple Septic Emboli and Liver Abscess Caused by Klebsiella pneumoniae.
Yong Kyun KIM ; Kyeong Min JO ; Ji Hoon JANG ; Chang Min HEO ; Jae Ha LEE ; Jin Han PARK ; Sunyoung KIM ; Hang Jae JANG ; Hyeon Kuk KIM ; Sungmin KIEM
Infection and Chemotherapy 2018;50(3):268-273
Emphysematous osteomyelitis, characterized by intraosseous gas, is a rare but potentially fatal condition that requires prompt diagnosis and aggressive therapy. Causative organisms are members of the bacterial family Enterobacteriaceae or anaerobes in most cases and significant comorbidities such as diabetes mellitus and malignancy, may predispose an individual to the development of emphysematous osteomyelitis. We report a case of extensive emphysematous osteomyelitis via hematogenous spread from Klebsiella pneumoniae liver abscess, complicated by gas-containing abscesses in adjacent soft tissues and epidural space, and multiple systemic septic emboli in a diabetic patient.
Abscess
;
Comorbidity
;
Diabetes Mellitus
;
Diagnosis
;
Enterobacteriaceae
;
Epidural Space
;
Humans
;
Klebsiella pneumoniae*
;
Klebsiella*
;
Liver Abscess*
;
Liver*
;
Osteomyelitis*
9.Rapidly Fatal Emphysematous Osteomyelitis with Multiple Septic Emboli and Liver Abscess Caused by Klebsiella pneumoniae.
Yong Kyun KIM ; Kyeong Min JO ; Ji Hoon JANG ; Chang Min HEO ; Jae Ha LEE ; Jin Han PARK ; Sunyoung KIM ; Hang Jae JANG ; Hyeon Kuk KIM ; Sungmin KIEM
Infection and Chemotherapy 2018;50(3):268-273
Emphysematous osteomyelitis, characterized by intraosseous gas, is a rare but potentially fatal condition that requires prompt diagnosis and aggressive therapy. Causative organisms are members of the bacterial family Enterobacteriaceae or anaerobes in most cases and significant comorbidities such as diabetes mellitus and malignancy, may predispose an individual to the development of emphysematous osteomyelitis. We report a case of extensive emphysematous osteomyelitis via hematogenous spread from Klebsiella pneumoniae liver abscess, complicated by gas-containing abscesses in adjacent soft tissues and epidural space, and multiple systemic septic emboli in a diabetic patient.
Abscess
;
Comorbidity
;
Diabetes Mellitus
;
Diagnosis
;
Enterobacteriaceae
;
Epidural Space
;
Humans
;
Klebsiella pneumoniae*
;
Klebsiella*
;
Liver Abscess*
;
Liver*
;
Osteomyelitis*
10.Amebic liver abscesses resulting in diagnosis of human immunodeficiency virus infection
Seok Weon KIM ; Hyeok Choon KWON ; Seung Woo NAM ; Jong Kyung CHOI ; Joo Won CHUNG ; Dong Won JANG ; Soo Yoen PARK
Yeungnam University Journal of Medicine 2017;34(1):96-100
Amebic liver abscess (ALA) is the most common extraintestinal manifestation of amebiasis. Amebiasis, a parasitic infection caused by Entamoeba histolytica, used to be a prevalent protozoan disease in Korea, however, with an improving sanitary system, it has been among very uncommon etiology of liver abscess. A recent report suggested that ALA is an emerging parasitic infection in human immunodeficiency virus (HIV)-infected patients even in areas where the disease is not endemic and recommended HIV screening in patients in areas where ALA is not endemic, particularly those without history of travel to a disease-endemic area. We report on two patients who were admitted for treatment of ALA and then diagnosed as HIV infection. We also reviewed the etiology and characteristics of ALA in our hospital during the last 5 years.
Amebiasis
;
Diagnosis
;
Entamoeba histolytica
;
HIV Infections
;
HIV
;
Humans
;
Korea
;
Liver Abscess
;
Liver Abscess, Amebic
;
Mass Screening