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英文誌(2004-)

Journal of Medical Ultrasonics

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1989 - Vol.16

Vol.16 No.01

Case Report(症例報告)

(0070 - 0075)

超音波にて多発性の小結節状肝病変を認めた大酒家の1例

A Case of Multiple Small Nodules of the Liver in Alcoholic Diagnosed by Ultrasonography

安本 潔1, 吉田  博1, 原田 大1, 真島 康雄1, 石井 邦英1, 藤本 隆史1, 岩井 一郎1, 光山 慶一1, 大久保 和典1, 上野 隆登1, 吉武 正男1, 安倍 弘彦1, 谷川 久一1, 安本 壽來2

Kiyoshi YASUMOTO1, Hiroshi YOSHIDA1, Masaru HARADA1, Yasuo MAJIMA1, Kunihide ISHII1, Takashi FUJIMOTO1, Ichiro IWAI1, Keiichi MITSUYAMA1, Kazunori OOKUBO1, Takato UENO1, Masao YOSHITAKE1, Hirohiko ABE1, Kyuichi TANIKAWA1, Toshiki YASUMOTO2

1久留米大学医学部第二内科, 2安本病院

1The Second Department of Internal Medicine, Kurume University School of Medicine, 2Yasumoto Hospital

キーワード : Focal fatty change, Fatty liver, Hyperechoic lesion

A case of hyperechoic multiple small nodules of the liver in alcoholic was reported. A 41-year old alcoholic male was admitted to our hospital with a complaint of general malaise. Laboratory data revealed mild abnormality of serum γ-GTP level and ICG test.
On admission, ultrasonography showed hepatic hyperechoic multiple small nodules of 1∼ 1.5 cm in diameter which was penetrated by hepatic vein. Ultrasound-guided fine needle (21G) aspiration biopsy of this lesion was performed and histological study showed the fatty change in this lesion of the liver.
After 5 weeks of admission, hepatic hyperechoic lesion was almost disappeared.
Severe perivenular and pericellular fibrosis of the liver was confirmed by silver impregnation. Thus, focal ischemia caused by severe hepatic fibrosis might be concerned for the development of hepatic focal fatty change.