Abscesso hepatico piogenico associado a esquistossomose mansonica



Document title: Abscesso hepatico piogenico associado a esquistossomose mansonica
Journal: Revista do Colegio Brasileiro de Cirurgioes
Database: PERIÓDICA
System number: 000180221
ISSN: 0100-6991
Authors: 1

Institutions: 1Instituto Nacional do Cancer, Rio de Janeiro. Brasil
2Universidade Federal de Alagoas, Maceio, Alagoas. Brasil
Year:
Season: Jul-Ago
Volumen: 26
Number: 4
Pages: 249-251
Country: Brasil
Language: Portugués
Document type: Artículo
Approach: Caso clínico
Portuguese abstract The authors report a case of the 15 year old young man, from endemic zone of schistosomiasis and with a chronic schistosomiasis, was admitted complaining of continuous pain in the right upper quadrant, spreaded to epigastrium and right lower quadrant which, began 10 days before. It was associated to fever, anorexia, hepatomegaly, esplenomegaly and signs of peritoneal irritation without clinical improvement. At laparotomy multiple liver microabscesses were found. Excluded the classic etiology, a liver biopsy was done and showed Schistossoma mansoni eggs. surrounded by the same inflamatory cells of microabscesses. This suggested that they have been the predisposing cause for the formation of liver abscesses, as shown in the literature. Schistosomiasis can be complicated with pylephlebitis, immunodepression and granulomatous reaction, centrallobular necrosis and a raise in the infection risk. The described data suggest the schistosomiasis as the etiology of hepatic microabscesses, mainly in endemic zones
Disciplines: Medicina
Keyword: Cirugía,
Diagnóstico,
Gastroenterología,
Abscesos,
Esquistosomiasis,
Hígado
Keyword: Medicine,
Diagnosis,
Gastroenterology,
Surgery,
Abscesses,
Schistosomiasis,
Liver
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