Resumo
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.
Liver abscess; Schistosomiasis
Liver abscess; Schistosomiasis
RELATOS DE CASOS
Abscesso hepático piogênico associado à esquistossomose mansônica
Liver piogenic abscess associated to schistosomiasis
Luiz Fernando A. MendesI; João Batista Neto, TCBC-ALII; Antenor Teixeira LealIII
IResidente do Serviço de Imagem do Instituto Nacional do Câncer - INCA-RJ. Ex-estagiário da Unidade de Emergência A. Lages - UEAL - Maceió - AL
IIProf. Assistente e Coordenador Auxiliar da Disciplina de Cirurgia Geral do Departamento de Cirurgia da UFAL. Cirurgião da UEAL
IIIProf. Adjunto de Anatomia Patológica da Escola de Ciências Médicas de Alagoas. Diretor do Serviço de Anatomia Patológica da Santa Casa de Maceió
Endereço para correspondência Endereço para correspondência: Dr. João Batista Neto Rua Eng. Mrio de Gusmão, 603 - Ponta Verde 57035-000 - Maceió-AL
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.
Key words: Liver abscess; Schistosomiasis.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Recebido em 9/12/98
Aceito para publicação em 26/7/99
Trabalho realizado na Unidade de Emergência Dr. Armando Lages - Maceió - AL.
- 1. Chu KM, Fan ST, Lai ECS, et al. Pyogenic liver abscess. Arch Surg 1996;131:148-152.
- 2. Huang CJ, Pitt HA, Lipsett PA, et al. Pyogenic hepatic abscess - Changing trend over 42 years. Ann Surg 1996;223:600-609.
- 3. Lambertucci JR, Teixeira R, Navarro MMM, et al. Liver abscess and Schistosomiasis. A new association - Nota Prévia. Rev Soc Bras Med Trop 1990;23:239-240.
- 4. Lima VCP, Maluf FC. Schistosomiasis: predisposing cause for the formation of hepatic abscesses? Case report. Rev Inst Med Trop SãoPaulo 1993;37:277-280.
- 5. Teixeira R, Lambertucci JR, Brasileiro Filho G, et al. Aspectos patogęnicos da associação entre o abscesso piogęnico do fígado e a esquistossomose mansoni experimental - Tema livre 33/ XIV Cong. Bras. de Hepatologia. GED 1997; 16: 173.
Datas de Publicação
-
Publicação nesta coleção
26 Jan 2010 -
Data do Fascículo
Ago 1999
Histórico
-
Recebido
09 Dez 1998 -
Aceito
26 Jul 1999
