@article{oai:ir.kagoshima-u.ac.jp:00010341,
 author = {迫田, 雅彦 and 上野, 真一 and 久保, 文武 and 樋渡, 清司 and 立野, 太郎 and 尾本, 至 and 松下, 大輔 and 新地, 洋之 and 又木, 雄弘 and 蔵原, 弘 and 平田, 晋吾 and 貴島, 文雄 and 夏越, 祥次},
 issue = {1},
 journal = {鹿児島大学医学雑誌, Medical journal of Kagoshima University},
 month = {},
 note = {We report a case of a free-living amebic liver abscess believed to have complicated a huge liver cyst. A 64-year-old woman with complaint of right upper quadrant abdominal distention was admitted to our hospital and a huge liver cyst measuring 18 cm in diameter was observed on CT. However, since ultrasonography revealed a solid component like a septum, aspiration cytology and needle biopsy were performed. The aspirate was serous and dark reddish-brown. Histologically, many amoebas were detected and it was diagnosed as a free-living amebic liver abscess instead of Entamoeba histolytica. She was treated with oral metronidazole and percutaneous drainage. However, a secondary infection occurred, and hepatectomy was ultimately performed. Our case is of interest because the inflammation response was not expected, the CT findings suggested a liver cyst, and because of the diagnosis of a very rare free-living amebic liver abscess. It is therefore necessary to keep the possibility of liver abscess in mind during the diagnosis of such cystic lesions.},
 pages = {21--25},
 title = {巨大肝嚢胞に合併したと思われる自由生活性アメーバ性肝膿瘍の一例},
 volume = {60},
 year = {2008}
}