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Ann Geriatr Med Res > Volume 17(4); 2013 > Article
Journal of the Korean Geriatrics Society 2013;17(4):253-258.
DOI: https://doi.org/10.4235/jkgs.2013.17.4.253    Published online December 31, 2013.
Amebic Liver Abscess Complicated With Inferior Vena Cava Obstruction
Jin Kyeong Cho, Min Sung Kim, Jin Ho Shin, Yeon Sang Jeong, Ga Jin Lim, Na Ree Kang, Jae Phil Choi, Chul Hi Park, Min Young Kim
1Department of Internal Medicine, Seoul Medical Center, Seoul, Korea. kmy008@hanmail.net
2Department of Radiology, Seoul Medical Center, Seoul, Korea.
혈뇨 및 신기능 저하로 발현한 하대정맥 폐쇄 동반
아메바성 간농양 1예
조진경1⦁김민성1⦁신진호1⦁정연상1⦁임가진1⦁강나리1⦁최재필1⦁박철희2⦁김민영1
서울의료원 내과1, 영상의학과2
Abstract
Amebic liver abscess (ALA) has been diagnosed in travelers to endemic areas or in patients with immunosuppression secondary to human immunodeficiency virus infection since the late 1990s. Further, it is a rare disease in Korea. ALA should be considered in patients present with fever and right upper quadrant pain along with a risk of exposure to amebiasis. We report an 82-year-old man with symptoms of fever, gross hematuria and severe renal impairment as having amebic liver abscess complicated with the obstruction of the inferior vena cava. Amebic liver abscess was successfully treated with antibiotics alone. Also, hematuria disappeared and renal dysfunction improved after treatment.
Key Words: Amebic liver abscess, Inferior vena cava, Hematuria, Renal insufficiency


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