Abscesso hepatico piogenico associado a esquistossomose mansonica



Título del documento: Abscesso hepatico piogenico associado a esquistossomose mansonica
Revista: Revista do Colegio Brasileiro de Cirurgioes
Base de datos: PERIÓDICA
Número de sistema: 000180221
ISSN: 0100-6991
Autores: 1

Instituciones: 1Instituto Nacional do Cancer, Rio de Janeiro. Brasil
2Universidade Federal de Alagoas, Maceio, Alagoas. Brasil
Año:
Periodo: Jul-Ago
Volumen: 26
Número: 4
Paginación: 249-251
País: Brasil
Idioma: Portugués
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en portugués 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
Disciplinas: Medicina
Palabras clave: Cirugía,
Diagnóstico,
Gastroenterología,
Abscesos,
Esquistosomiasis,
Hígado
Keyword: Medicine,
Diagnosis,
Gastroenterology,
Surgery,
Abscesses,
Schistosomiasis,
Liver
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