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Acetylcholine Re-Challenge After Intracoronary Nitroglycerine Administration07:59

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We present a laparoscopic technique for anatomic S7+S8d resection with right hepatic vein transection, preserving the inferior right hepatic vein and segment S6. Relying on meticulous anatomical landmarks without intraoperative ultrasound, this approach offers a precise and parenchyma-sparing option for dorsally located right-liver tumors, particularly in settings with limited advanced navigation...
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関連する実験動画

Updated: Jan 20, 2026

Acetylcholine Re-Challenge After Intracoronary Nitroglycerine Administration
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肝臓 actinomycosis: 診断上の課題

Prithiviraj Nabi1, Muthukumarassamy Rajakannu1, Mukul Vij1

  • 1Institute of Liver Disease and Transplantation, Dr Rela Institute & Medical Centre, Bharath Institute of Higher Education and Research, Chromepet, Tamil Nadu, India.

Journal of clinical and experimental hepatology
|January 19, 2026
PubMed
まとめ

原発性肝臓 actinomycosis は、まれな肝臓感染症であり、正確な診断のためには腫瘍を模倣する可能性があり、高い疑いが必要です。迅速な抗生物質治療は、不要な肝臓手術を回避して回復するために重要です。

キーワード:
アクチノマイセス・イスラエリ肝切除術炎症性偽腫瘍肝膿瘍肝切除肝腫瘍

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Last Updated: Jan 20, 2026

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Published on: December 30, 2025

166

科学分野:

  • 肝臓病学; 感染症; 外科病理学

背景:

  • 原発性肝臓 actinomycosis (HA) は、まれな慢性膿瘍形成感染症です。; アクチノマイセスによって引き起こされ、肝臓の腫瘍を模倣することがよくあります。; HA は亜急性または慢性の炎症を呈し、頻繁な誤診につながります。

研究 の 目的:

  • 肝腸吻合術後の肝臓 actinomycosis の 2 例を報告すること。; HA の診断上の課題と治療を強調すること。; 主要な肝切除を回避するために早期診断の重要性を強調すること。

主な方法:

  • 肝腸吻合術後の肝臓占拠性病変を有する 2 例の患者の症例報告。; 肝組織の組織病理学的検査。; 経皮的生検および抗生物質治療。

主要な成果:

  • 最初の患者：左葉膿瘍と肝内結石症、肝切除後のアクチノマイセス症と診断されました。; 2番目の患者：両側肝膿瘍と洞、生検で診断され、抗生物質で治療されました。; 両方の患者が長引く病気の経過を経験しました。

結論:

  • 肝臓 actinomycosis はまれで、しばしば誤診され、気づかれずに現れます。; 特に肝腸吻合術の既往がある患者では、高い疑い指数が不可欠です。; 組織病理学が診断を確認します。抗生物質療法は治癒を保証し、広範な手術を回避します。