PDF(Pubmed)
Abstract：
Parasitic infections like amoebiasis are often asymptomatic in the tropics, but the invasive disease can cause an amoebic liver abscess. During pericardiocentesis, amoebiasis is more noticeable in left lobe abscesses with chocolate-like pus drainage. Here, we present an unusual amoebic liver abscess that erupted into the pericardial cavity via a diaphragmatic fistula. An emergency pericardiotomy was performed to relieve cardiac tamponade, and the liver abscess was evacuated through a diaphragmatic rent identified during the surgery. This illustrates the catastrophic complications of an amoebic liver abscess.
摘要：
像阿米巴病这样的寄生虫感染在热带地区通常是无症状的，但是侵袭性疾病会导致阿米巴肝脓肿。心包穿刺术期间,变形虫病在左叶脓肿中更明显，伴有巧克力样脓液引流。这里,我们提出了一个不寻常的阿米巴肝脓肿，通过膈瘘爆发到心包腔。进行了紧急心包切开术以缓解心脏压塞，肝脓肿通过手术过程中发现的膈肌排出。这说明了阿米巴肝脓肿的灾难性并发症。
