AI Article Synopsis
- An 88-year-old Japanese woman presented with abdominal pain linked to inflammation and was diagnosed with a duodenal ulcer affecting a liver cyst.
- After confirming no complications on imaging, her family opted for conservative treatment rather than aggressive intervention, leading to clinical observation and management with antibiotics and proton-pump inhibitors.
- Subsequent examinations showed successful closure of the connection between the liver cyst and the duodenum, resulting in her full recovery.
Article Abstract
An 88-year-old Japanese woman was admitted to our hospital for abdominal pain with a raised inflammatory reaction. Esophagogastroduodenoscopy (EGD) and computed tomography (CT) showed a duodenal ulcer punching a liver cyst. Since neither ascites nor free air were detected on CT and her family did not wish for aggressive medical treatment, the patient received clinical observation and conservative management. Antibiotic and proton-pump inhibitor therapy was effective, and she exhibited an uneventful recovery. A reexamination of EGD and CT confirmed that the fistulous tract between the liver cyst and duodenum was blockaded.
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| http://dx.doi.org/10.2169/internalmedicine.53.1921 | DOI Listing |
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