A 52-year-old woman with a subcapsular liver hematoma.

Gotuzzo Herencia, José Eduardo; Seas Ramos, Carlos Rafael; Leon, Mey; Alvarado, Ramon; Terashima, Angelica; Alave, Jorge

dc.contributor.author	Leon, Mey
dc.contributor.author	Alave, Jorge
dc.contributor.author	Alvarado, Ramon
dc.contributor.author	Gotuzzo Herencia, José Eduardo
dc.contributor.author	Terashima, Angelica
dc.contributor.author	Seas Ramos, Carlos Rafael
dc.date.accessioned	2022-01-18T19:26:51Z
dc.date.available	2022-01-18T19:26:51Z
dc.date.issued	2011
dc.identifier.uri	https://hdl.handle.net/20.500.12866/10944
dc.description.abstract	A 52-year-old woman was admitted with a 3-month history of pain in the right upper quadrant of the abdomen and fever for the last 2 weeks. The patient was born and lives in the highlands of Peru and reported regularly consuming raw vegetables and drinking infusions made of alfalfa. There was no history of travel, and she denied any underlying medical condition. The physical examination at admission revealed a chronically ill patient in no distress; no rash, jaundice, or lymphadenopathy was observed. Findings of chest and cardiovascular examinations were unremarkable. Tender hepatomegaly was found. Laboratory examinations revealed a hematocrit of 40%; white blood cell count of 18,600 cells/mm3 with 62% eosinophils; normal total bilirubin level; and mild elevation of levels of aspartate amino transferase (AST) 124 IU/L (<40), alanine aminotransferase (ALT) 75 IU/L (<40), alkaline phosphatase 274 IU/L (20–140). A contrast computed tomographic (CT) scan of the abdomen was performed (Figure 1). The liver span was measured as 17.5 cm and contained a large subcapsular hypodense nonenhancing collection located in segments VI and VII, and multiple small cystic lesions scattered throughout the liver parenchyma. On the basis of the history and the abdominal CT scan findings, a stool examination for ova and parasites was requested (Figure 2)....	en_US
dc.language.iso	eng
dc.publisher	Oxford University Press
dc.relation.ispartofseries	Clinical Infectious Diseases
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	Humans	en_US
dc.subject	Peru	en_US
dc.subject	Animals	en_US
dc.subject	Tomography Scanners, X-Ray Computed	en_US
dc.subject	Antibodies, Helminth blood	en_US
dc.subject	Feces parasitology	en_US
dc.subject	Fasciola hepatica immunology isolation & purification	en_US
dc.subject	Fascioliasis complications parasitology	en_US
dc.subject	Hematoma diagnosis etiology	en_US
dc.subject	Liver Diseases diagnosis etiology	en_US
dc.subject	Liver diagnostic imaging	en_US
dc.subject	Radiography	en_US
dc.title	A 52-year-old woman with a subcapsular liver hematoma.	en_US
dc.type	info:eu-repo/semantics/review
dc.identifier.doi	https://doi.org/10.1093/cid/cir086
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.03.08
dc.relation.issn	1537-6591