Inflammatory pseudotumor of the liver associated with extrahepatic infection
Inflammatory pseudotumor of the liver associated with extrahepatic infection
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DOI：
10.1097/00007611-199701000-00005
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发表时间：
1997-01-01
影响因子：
1.1
通讯作者：
Clark, MO
中科院分区：
文献类型：
--
作者：
White, JE;Chase, C;Clark, MO
我们提出了两个案件，支持感染性原因的炎性假瘤的肝脏。每例患者均因慢性腹腔积液而出现脓毒症，沿着肝脏肿块，两例患者均行剖腹探查术，肝脏肿块的组织学检查显示肝脏炎性假瘤，在1例患者的肝组织切片中观察到混合细菌/放线菌感染的证据，另1例患者直接从肝活检中培养出粪拟杆菌，这是已知的第一个从肝假瘤活检标本中培养出细菌的报道，也是唯一报道的肝假瘤中存在放线菌的病例。这两例病例的临床和病理结果表明，肝外感染源应被视为肝脏炎性假瘤的潜在原因。
We present two cases that support an infectious cause of inflammatory pseudotumor of the liver. Each patient had sepsis due to chronic abdominal abscesses, along with a liver mass, Both patients had exploratory celiotomy, and histologic examination of the Liver mass revealed inflammatory pseudotumor of the liver, Evidence of a mixed bacterial/Actinomyces infection was noted in hepatic tissue sections in one patient, and Bacteroides caccae was cultured directly from the liver biopsy in the other patient, This is the first known report of bacteria being cultured from biopsy specimens of a hepatic pseudotumor and the only reported case of Actinomyces within a hepatic pseudotumor, Clinical and pathologic findings in these two cases indicate that an extrahepatic infectious source should be explored as a potential cause of inflammatory pseudotumor of the liver.