Langman G, Hall P D
Department of Anatomical Pathology, University of Cape Town Medical School, South Africa.
Pathology. 2001 Aug;33(3):396-8.
We describe a 33-year-old woman with Crohn's disease, who presented with recurrent episodes of small bowel obstruction. A solitary liver lesion was discovered incidentally by abdominal ultrasound. Pathological examination of the resected specimen revealed features typical of focal nodular hyperplasia together with uncommon findings including calcification, ossification and fibrous obliteration of blood-filled "cysts", changes more commonly associated with regression in hepatic haemangiomas. This report strengthens the favoured hypothesis that a vascular malformation underlies the pathogenesis of focal nodular hyperplasia.
我们描述了一名33岁患有克罗恩病的女性，她反复出现小肠梗阻发作。腹部超声偶然发现一个孤立的肝脏病变。切除标本的病理检查显示出典型的局灶性结节性增生特征，同时还有一些罕见的表现，包括钙化、骨化以及充满血液的“囊肿”的纤维性闭塞，这些变化更常见于肝血管瘤的消退。本报告强化了这样一种备受青睐的假说，即血管畸形是局灶性结节性增生发病机制的基础。
