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Case reports in hepatology 24건

  1. [해외논문]   An Unusual CongenitalIn SituMalrotation of the Liver  

    Zhong, Hua (Department of Pathology and Laboratory Medicine, Rutgers Robert Wood Johnson Medical School, Rutgers Cancer Institute of New Jersey, 195 Little Albany Street, Room 2045, New Brunswick, NJ 08903, USA)
    Case reports in hepatology v.2013 ,pp. 1 - 2 , 2013 , 2090-6587 ,

    초록

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Spontaneous Bacterial Peritonitis Caused byListeria monocytogenesAssociated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy  

    Yecies, Todd (University of Pittsburgh School of Medicine, 4601 Bayard Street, Pittsburgh, PA 15213, USA ) , Inagami, Sanae (University of Pittsburgh and VA Pittsburgh Healthcare System (VAPHS), Pittsburgh, PA 15213, USA)
    Case reports in hepatology v.2013 ,pp. 1 - 3 , 2013 , 2090-6587 ,

    초록

    Spontaneous bacterial peritonitis (SBP) is a potentially deadly complication of ascites. We describe a case of SBP caused by Listeria monocytogenes in a patient with alcoholic cirrhosis. This was associated with the unusual finding of ascitic fluid lymphocytosis, which previously had only been associated with tuberculoid or malignant ascites. Given increasing rates of cefotaxime-resistant SBP alongside the possibility of Listeriosis, the use of cefotaxime as first-line therapy in SBP should be reevaluated.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Tocilizumab-Induced Acute Liver Injury in Adult Onset Still's Disease  

    Drepper, Michael (Division of Gastroenterology and Hepatology, Department of Internal Medecine Specialties, Geneva University Hospital, Rue Gabrielle Perret Gentil 4, 1211 Geneva 14, Switzerland ) , Rubbia-Brandt, Laura (Division of Clinical Pathology, Geneva University Hospital and Geneva Faculty of Medicine, Rue Gabrielle Perret Gentil 4, 1211 Geneva 14, Switzerland ) , Spahr, Laurent (Division of Gastroenterology and Hepatology, Department of Internal Medecine Specialties, Geneva University Hospital, Rue Gabrielle Perret Gentil 4, 1211 Geneva 14, Switzerland)
    Case reports in hepatology v.2013 ,pp. 1 - 3 , 2013 , 2090-6587 ,

    초록

    Background . Tocilizumab, a monoclonal humanized anti-IL-6 receptor antibody, is used in treatment of refractory adult onset Still's disease (AOSD). Mild to moderate liver enzyme elevation is a well-known side effect, but severe liver injury has only been reported in 3 cases in the literature. Case . A young female suffering from corticoid and methotrexate refractory AOSD was treated by tocilizumab. After 19 months of consecutive treatment, she developed acute severe liver injury. Liver biopsy showed extensive hepatocellular necrosis with ballooned hepatocytes, highly suggestive of drug-induced liver injury. No other relevant drug exposure beside tocilizumab was recorded. She recovered totally after treatment discontinuation and an initial 3-day course of intravenous N-acetylcysteine with normalization of liver function tests after 6 weeks. Conclusion . Acute severe hepatitis can be associated with tocilizumab as documented in this case. Careful monitoring of liver function tests is warranted during tocilizumab treatment.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Granulomatous Hepatitis Secondary toHistoplasmaInfection after Treatment with Infliximab  

    Barrera, L. (Pathology and Clinical Laboratory Department, Fundación Santa Fe de Bogotá) , Á (Teaching Hospital, Colombia, Calle 119, No. 7-75, Bogotá, Colombia ) , lvarez, J. (Pathology and Clinical Laboratory Department, Fundación Santa Fe de Bogotá) , Tapias, M. (Teaching Hospital, Colombia, Calle 119, No. 7-75, Bogotá, Colombia ) , Idrovo, V. (Gastroenterology Department, Fundación Santa Fe de Bogotá) , Ló (Teaching Hospital, Calle 119, No. 7-75, Bogotá, Colombia ) , pez, R. (Gastroenterology Department, Fundación Santa Fe de Bogotá)
    Case reports in hepatology v.2013 ,pp. 1 - 4 , 2013 , 2090-6587 ,

    초록

    Classical presentation of Histoplasma infection includes fever and respiratory symptoms. Opportunistic microorganisms must be suspected on immunocompromised patients who develop bizarre symptoms. We present a case of a female patient with rheumatoid arthritis who received treatment with Infliximab during one and a half year; she developed granulomatous hepatitis secondary to Histoplasma infection. The patient was admitted with acute hepatitis and thrombocytopenic coagulopathy. A liver biopsy was performed revealing granulomatous hepatitis, microvesicular steatosis, isolated apoptotic cells, and parenchyma microabscesses. PAS and GOmOri stains revealed areas with mycotic microorganisms morphologically compatible with Histoplasma spp. and confirmed by culture.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   A Case of Solitary Necrotic Nodule Treated with Laparoscopic Hepatectomy: Spontaneous Regression of Hepatocellular Carcinoma?  

    Tomishige, Hirokazu (Department of Surgery, Fujita Health University School of Medicine Banbuntane Houtokukai Hospital, 3-6-10 Otobashi Nakagawaku, Nagoya, Aichi 454-8509, Japan ) , Morise, Zenichi (Department of Surgery, Fujita Health University School of Medicine Banbuntane Houtokukai Hospital, 3-6-10 Otobashi Nakagawaku, Nagoya, Aichi 454-8509, Japan ) , Mizoguchi, Yoshikazu (Department of Pathology, Fujita Health University School of Medicine Banbuntane Houtokukai Hospital, 3-6-10 Otobashi Nakagawaku, Nagoya, Aichi 454-8509, Japan ) , Kawabe, Norihiko (Department of Surgery, Fujita Health University School of Medicine Banbuntane Houtokukai Hospital, 3-6-10 Otobashi Nakagawaku, Nagoya, Aichi 454-8509, Japan ) , Nagata, Hidetoshi (Department of Surgery, Fujita Health University School of Medicine Banbuntane Houtokukai Hospital, 3-6-10 Otobashi Nakagawaku, Nagoya, Aichi 454-8509, Japan ) , Ohshima, Hisanori (Department of Surgery, Fujita Health University School of Medicine Banbuntane Houtokukai Hospital, 3-6-10 Otobashi Nakagawaku, Nagoya, Aichi 454-8509, Japan ) , Kawase, Jin (Department of Surgery, Fujita Health Univers) , Arakawa, Satoshi , Yoshida, Rie , Isetani, Masashi
    Case reports in hepatology v.2013 ,pp. 1 - 3 , 2013 , 2090-6587 ,

    초록

    Solitary necrotic nodule of the liver is a rare benign lesion with a completely necrotic core and a hyalinized fibrotic capsule containing elastic fibers. The pathogenetic mechanism is still unclear. We here describe a case of SNN, whose central reticulin fibers within the nodule suggest the origin as hepatocellular carcinoma or other hepatocyte-origin tumors, treated with laparoscopic anatomical segmentectomy of the liver. A 76-year-old Japanese female, with no prior medical history and no symptom, visited our hospital with the heterogeneous hypoechoic lesion in the liver segment VI incidentally pointed out in abdominal ultrasonography. Computed tomography with contrast demonstrated a 1.1 cm sized low-density lesion with mild ring enhancement on the rim in the arterial phase. Since the possibility of malignant tumor with necrotic change could not be ruled out, she underwent laparoscopic anatomical segmentectomy of the liver. In the histological examination of the surgical specimen, the liver nodule was necrotic tissue without viable cells and signs of inflammation, which had fibrous capsule and central cystic change and showed trabecular pattern alignment of ghost cells and reticulin fibers orthogonal to the capsule. Also, the findings of chronic hepatitis were observed in the background liver.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Acute Abdomen Secondary to Incarcerated Umbilical Hernia after Treatment of Massive Cirrhotic Ascites  

    Keat Tan, Hiang (Department of Gastroenterology and Hepatology, Singapore General Hospital, Outram Road, Singapore 169608 ) , Chang, Pik Eu (Department of Gastroenterology and Hepatology, Singapore General Hospital, Outram Road, Singapore 169608)
    Case reports in hepatology v.2013 ,pp. 1 - 3 , 2013 , 2090-6587 ,

    초록

    Umbilical herniation is common in patients with liver cirrhosis and ascites. Rarely, they suffer from incarceration and strangulation of the umbilical hernia after treatment of ascites. We report 3 cases of umbilical hernia incarceration following removal of massive ascites with different treatment modalities. Physicians managing this group of patients should be aware of this rare and potentially fatal complication.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Acute Pancreatitis Complicating Acute Hepatitis E Virus Infection: A Case Report and Review  

    Nayak, Hemanta Kumar (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India ) , Kamble, Nitish L. (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India ) , Raizada, Nishant (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India ) , Garg, Sandeep (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India ) , Daga, Mradul Kumar (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India)
    Case reports in hepatology v.2013 ,pp. 1 - 3 , 2013 , 2090-6587 ,

    초록

    Acute pancreatitis complicating fulminant viral hepatitis has been well recognized; however, acute pancreatitis occurring in nonfulminant hepatitis is very rare. The case presented describes moderate pancreatitis in a young male, manifesting during the course of nonfulminant acute hepatitis E infection. The diagnosis of acute viral hepatitis E was confirmed by serology and reverse transcriptase polymerase chain reaction (RT-PCR) to demonstrate Hepatitis E virus (HEV) RNA in both stool and serum. Patients with acute viral hepatitis presenting with severe abdominal pain should have a diagnosis of acute pancreatitis suspected and appropriate investigations including serum amylase, lipase, biliary ultrasonography and/or contrast-enhanced computed tomography of the abdomen should be undertaken. The identification of this unusual complication of Hepatitis E is important; however, the prognosis for patients with Acute Pancreatitis Complicating Acute Hepatitis E Virus Infection is good, and uncomplicated recovery with conservative treatment is expected.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Transjugular Retrograde Obliteration prior to Liver Resection for Hepatocellular Carcinoma Associated with Hyperammonemia due to Spontaneous Portosystemic Shunt  

    Chikamori, Fumio (Department of Surgery, Kuniyoshi Hospital, 1-3-4 Kamimachi, Kochi City, Kochi 780-0901, Japan ) , Kuniyoshi, Nobutoshi (Department of Internal Medicine, Kuniyoshi Hospital, 1-3-4 Kamimachi, Kochi City, Kochi 780-0901, Japan)
    Case reports in hepatology v.2013 ,pp. 1 - 5 , 2013 , 2090-6587 ,

    초록

    A 67-year-old woman had hepatocellular carcinoma (HCC) measuring 3.7 cm at S8 of the liver with hyperammonemia due to a spontaneous giant mesocaval shunt. Admission laboratory data revealed albumin, 2.9 g/dL; total bilirubin, 1.3 mg/dL; plasma ammonia level (NH3), 152 g/dL; total bile acid (TBA) 108.5 μ moL/L; indocyanine green retention rate at 15 min (ICG15), 63%. Superior mesenteric arterial portography revealed a hepatofugal giant mesocaval shunt, and the portal vein was not visualized. Before surgery, transjugular retrograde obliteration (TJO) for the mesocaval shunt was attempted to normalize the portal blood flow. Via the right internal jugular vein, a 6 F occlusive balloon catheter was inserted superselectively into the mesocaval shunt. The mesocaval shunt was successfully embolized using absolute ethanol and a 50% glucose solution. Eleven days after TJO, NH3, TBA, and ICG15 decreased to 56, 44, and 33, respectively. Superior mesenteric arterial portography after TJO revealed a hepatopetal portal flow. Partial hepatectomy of S8 was performed 25 days after TJO. The subsequent clinical course showed no complications, and the woman was discharged on postoperative day 14. We conclude that the combined therapy of surgery and TJO is an effective means of treating HCC with hyperammonemia due to a spontaneous portosystemic shunt.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Combined Hepatocellular Carcinoma and Fibrolamellar Carcinoma Presenting as Two Adjacent Separate Lesions in a Young Boy: First Case Report from Asia  

    Singh, Pradyumn (Department of Pathology, Christian Medical College, Vellore, Tamil Nadu 632004, India ) , Ramakrishna, Banumathi (Department of Pathology, Christian Medical College, Vellore, Tamil Nadu 632004, India)
    Case reports in hepatology v.2013 ,pp. 1 - 4 , 2013 , 2090-6587 ,

    초록

    We report a rare case of combined hepatocellular carcinoma and fibrolamellar carcinoma arising in a noncirrhotic liver, in a 14-year-old boy who underwent right hepatectomy. We discuss the clinicopathological and immunohistochemical features and the clinical outcome in this unusual tumor.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Severe Starvation-Induced Hepatocyte Autophagy as a Cause of Acute Liver Injury in Anorexia Nervosa: A Case Report  

    Restellini, S. (Department of Specialties, Division of Gastroenterology and Hepatology, Geneva's University Hospitals and University of Geneva, Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland ) , Spahr, L. (Department of Specialties, Division of Gastroenterology and Hepatology, Geneva's University Hospitals and University of Geneva, Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland ) , Rubbia Brandt, L. (Department of Genetic and Laboratory Medicine, Division of Clinical Pathology, Geneva's University Hospitals and University of Geneva, Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland)
    Case reports in hepatology v.2013 ,pp. 1 - 4 , 2013 , 2090-6587 ,

    초록

    Introduction . Mild elevation of transaminase may be observed in anorexia nervosa, but acute liver injury is uncommon. A complex programmed cell death in response to starvation, called autophagy, has been described in experimental and human studies. Case Presentation . A 24-year-old woman suffering from anorexia nervosa was hospitalized for severe malnutrition. At admission, there were biological signs of acute liver injury but no electrolytic imbalance. After having ruled out the most common causes of liver injury, the patient was carefully refed. As liver tests remained abnormal, liver biopsy was performed. At histology and electron microscopy, numerous signs suggestive of starvation-induced hepatocyte autophagy were found. Discussion . Severe starvation can be associated with acute liver injury that is slowly reversible with careful enteral nutrition. In this clinical situation, profound hepatic glycogen depletion in association with autophagy appears as the leading cause of liver injury.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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