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    ่†ต้ ญๅไบŒๆŒ‡่…ธๅˆ‡้™ค่ก“9ๅนดๅพŒใซ็”Ÿใ˜ใŸ่‚็‚Ž็—‡ๆ€งๅฝ่…ซ็˜ใฎ1ไพ‹

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    ไปŠๅ›žใ‚ใ‚Œใ‚ใ‚Œใฏ,ๆ‚ชๆ€ง่…ซ็˜่ก“ๅพŒใง่ปข็งปๆ€ง่‚่…ซ็˜ใŒ็–‘ใ‚ใ‚ŒใŸใŒ,็ตŒ็šฎ็š„้‡่‚็”Ÿๆคœใซใ‚ˆใ‚Š่‚็‚Ž็—‡ๆ€งๅฝ่…ซ็˜ใจ่จบๆ–ญใ—ๅพ—ใŸ็—‡ไพ‹ใ‚’็ตŒ้จ“ใ—ใŸ.็—‡ไพ‹ใฏ67ๆญณใฎ็”ทๆ€ง.ๅไบŒๆŒ‡่…ธไนณ้ ญ้ƒจ็™Œใซๅฏพใ™ใ‚‹่†ต้ ญๅไบŒๆŒ‡่…ธๅˆ‡้™ค่ก“ใฎๆ—ขๅพ€ใŒใ‚ใ‚‹.็ณ–ๅฐฟ็—…ใฎใŸใ‚ใซๅฝ“้™ขใฎๅ†…็ง‘ใซๅ…ฅ้™ขใ—,่…น้ƒจ่ถ…้ŸณๆณขๆคœๆŸปใง่‚่…ซ็˜ใŒๆŒ‡ๆ‘˜ใ•ใ‚ŒใŸ.็™บ็†ฑใฏใชใ„ใŒ,็‚Ž็—‡ๆ‰€่ฆ‹ใจ่ƒ†้“็ณป้…ต็ด ใฎไธŠๆ˜‡ใ‚’่ชใ‚ใŸ.่…ซ็˜ใƒžใƒผใ‚ซใƒผใฏๆญฃๅธธๅ€คใงใ‚ใฃใŸ.็จฎใ€…ใฎ็”ปๅƒๆคœๆŸปใง่ปข็งปๆ€ง่‚่…ซ็˜ใŒ็–‘ใ‚ใ‚ŒใŸใŒ็ขบๅฎš่จบๆ–ญใฏๅพ—ใ‚‰ใ‚Œใชใ‹ใฃใŸ.ใใ“ใง็ตŒ็šฎ็š„้‡่‚็”Ÿๆคœใ‚’่กŒใ„,็ต„็น”ๅญฆ็š„ใซ็‚Ž็—‡ๆ€ง่‚‰่Šฝ็ต„็น”ใจๅˆคๆ–ญใ•ใ‚Œ,่‚็‚Ž็—‡ๆ€งๅฝ่…ซ็˜ใจ่จบๆ–ญใ—ใŸ.่‚็‚Ž็—‡ๆ€งๅฝ่…ซ็˜ใฏ็‚Ž็—‡ๆ€ง็ดฐ่ƒžใฎๆตธๆฝคใจ็ทš้›„ๆ€ง็ต„็น”ใฎๅข—็”Ÿใซใ‚ˆใ‚‹่…ซ็˜คใŒ่‚ใซๅฝขๆˆใ•ใ‚Œใ‚‹็–พๆ‚ฃใงใ‚ใ‚‹.ใใฎ็™บ็”Ÿ่ฆๅ› ใฏไธๆ˜Žใงใ‚ใ‚‹ใŒๆ„ŸๆŸ“ใŒๆœ‰ๅŠ›่ฆ–ใ•ใ‚Œ,ๆ…ขๆ€ง่‚่†ฟ็˜ใจๅŒไธ€็–พๆ‚ฃใจ่€ƒใˆใ‚‰ใ‚Œใฆใ„ใ‚‹.่‡ช้จ“ไพ‹ใฏ,็ต„็น”ๅญฆ็š„ๆ‰€่ฆ‹ใ‚ˆใ‚Š่†ต้ ญๅไบŒๆŒ‡่…ธๅˆ‡้™ค่ก“ๅพŒใฎๆ™ฉๆœŸๅˆไฝต็—‡ใจใ—ใฆใฎ่ƒ†็ฎก็‚Žใ‹ใ‚‰่‚่†ฟ็˜ใŒๅฝขๆˆใ•ใ‚Œ,ใใ‚ŒใŒ็˜ข็—•ๅŒ–ใ—ใŸใ‚‚ใฎใจๆŽจๅฏŸใ—ใŸ.The patient was a 67 year-old man who had undergone pancreaticoduodenectomy for duodenal papillary cancer. He was admitted to the Department of Medicine for the treatment of diabetes mellitus and a liver tumor was found by abdominal ultrasonography. Although the patient did not have fever, elevated inflammatory markers and biliary enzymes were observed, while tumor markers were normal. Various imaging studies suggested a metastatic liver tumor, but a definitive diagnosis was not possible. Therefore, percutaneous needle liver biopsywas performed and a diagnosis of inflammatory pseudotumor of the liver was made. Inflammatory pseudotumorof the liver is a hepatic mass formed by the infiltration of inflammatory cells and the proliferation of fibrous tissue. From the histological findings, this patient was concluded to have a resolving liver abscess that had formed due to cholangitis as a late complication of pancreaticoduodenectomy
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