Author/Editor		Trampuž, Andrej
Title		Neprepoznan vzrok bolečinam v desni rami
Translated title		Unrecognised cause of pain in the right shoulder
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 37, št. 4
Publication year		1998
Volume		str. 571-80
Language		slo
Abstract		We present a 33-year-old patient, born in Sri Lanka and living in Switzerland for 12 years, who complained of acute pain in the right shoulder and the right upper abdomen. Rest and symtomatic therapy produced transient improvement, but pain - even more severe - recurred 10 weeks later. A 9x5 cm hypodense subdiaphragmatic lesion in the right hepatic lobe was seen on a CT scan. The diagnosis of amoebic liver abscess was established on the grounds of positive serology for antibodies to amoebae, and therapy with metronidazole was initiated. Percutaneous aspiration of the liver abscess was not successful because of the abscess rupture in the pleural space. Pleural drainage produced prompt improvement in the clinical status, and the patient was discharged home 8 days later.
Summary		Opisan je primer 33-letnega bolnika, rojenega v Šri Lanki in že 12 let živečega v Švici, pri katerem so se akutno pojavile bolečine v desni rami in pod desnim rebrnim lokom. Ob mirovanju in simptomatskem zdravljenju je prišlo do prehodnega izboljšanja, po 10 tednih pa so se bolečine ponovile v hujši obliki. V desnem jetrnem režnju je bila računalniškotomografsko vidna 9x5 cm velika hipodenzna lezija pod prepono. S pozitivno serološko preiskavo na amebe smo postavili diagnozo amebnega jetrnega abscesa in pričeli z zdravljenjem z metronidazolom. Perkutana drenaža abscesa je bila neuspešna, ker se je medtem jetrni absces izpraznil v plevralni prostor. Po plevralni drenaži je prišlo do takojšnjega izboljšanja, po osmih dneh smo bolnika lahko odpustili v domačo oskrbo.
Descriptors		SHOULDER PAIN LIVER ABSCESS, AMEBIC AMEBIASIS AMOEBA