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Updated: Dec 24, 2025

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
[A severely ill 33-year-old woman with hepatic abscesses]
1Klinik für Innere Medizin, Gastroenterologie, Hämato-Onkologie, Pneumologie und Palliativmedizin, Krankenhaus Bietigheim-Vaihingen, Riedstr. 12, 74321, Bietigheim-Bissingen, Deutschland. thomas.baechle@rkh-kliniken.de.
Abstract:
A 33-year-old woman in a seriously ill state presented with hepatic abscesses. The proof of epitheloid-like reactions by biopsy and further serological analysis led to the final diagnosis of tularemia, which represents a rare disease in Germany. Thereafter targeted antibiotic therapy was successfully initiated. The contribution of simultaneously diagnosed celiac disease to the unusual manifestation of tularemia in the liver, remains uncertain.
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