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KMID : 0371320050680060518
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Journal of the Korean Surgical Society
2005 Volume.68 No. 6 p.518 ~ p.521
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Repeat Hepatectomy of Recurrent Tuberculous Hepatic Abscess
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김홍진/Kim HJ
백낙원/김인후/강수환/이동식/박원규/윤성수/Baek NW/Kim IH/Kang SW/Lee DS/Park WK/Yun SS
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Abstract
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Isolated tuberculous hepatic abscess is rare and surgical treatment is often needed when the size of abscess is large or increasing, when abscess is resistant to antituberculous medication or undergoing secondary change. We report an unusual case of recurrent tuberculous hepatic abscess following surgical resection and antituberculous medication. A 67-year-old woman was admitted due to right upper abdominal pain. She had operation history of segmental resection of the liver due to tuberculous hepatic abscess refractory to antituberculous medication. Preoperative abdominal CT scan demonstrated a enlarging multifocal cystic lesion at segment 8 of the liver in spite of antituberculous medication. Right lobectomy was done and the biopsy revealed caseous necrosis and acid-fast bacilli on microscopic finding. Second- line antituberculous medication was started and no evidence of recurrence was noted. (J Korean Surg Soc 2005;68: 518-521)
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