Abscesso hepático piogênico associado à esquistossomose mansônica

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...

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Main Authors: Luiz Fernando A. Mendes, João Batista Neto, Antenor Teixeira Leal
Format: Article
Language:English
Published: Colégio Brasileiro de Cirurgiões
Series:Revista do Colégio Brasileiro de Cirurgiões
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911999000400011&lng=en&tlng=en
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author Luiz Fernando A. Mendes
João Batista Neto
Antenor Teixeira Leal
author_facet Luiz Fernando A. Mendes
João Batista Neto
Antenor Teixeira Leal
author_sort Luiz Fernando A. Mendes
collection DOAJ
description 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.
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spelling doaj.art-1afe8f65108b4716a3bce92557db06e12022-12-21T22:42:30ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-454626424925110.1590/S0100-69911999000400011S0100-69911999000400011Abscesso hepático piogênico associado à esquistossomose mansônicaLuiz Fernando A. Mendes0João Batista Neto1Antenor Teixeira Leal2Instituto Nacional de CâncerUniversidade Federal de AlagoasUniversidade Estadual de Ciências da Saúde de AlagoasThe 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911999000400011&lng=en&tlng=enLiver abscessSchistosomiasis
spellingShingle Luiz Fernando A. Mendes
João Batista Neto
Antenor Teixeira Leal
Abscesso hepático piogênico associado à esquistossomose mansônica
Revista do Colégio Brasileiro de Cirurgiões
Liver abscess
Schistosomiasis
title Abscesso hepático piogênico associado à esquistossomose mansônica
title_full Abscesso hepático piogênico associado à esquistossomose mansônica
title_fullStr Abscesso hepático piogênico associado à esquistossomose mansônica
title_full_unstemmed Abscesso hepático piogênico associado à esquistossomose mansônica
title_short Abscesso hepático piogênico associado à esquistossomose mansônica
title_sort abscesso hepatico piogenico associado a esquistossomose mansonica
topic Liver abscess
Schistosomiasis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69911999000400011&lng=en&tlng=en
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