肝脾型血吸虫病门静脉瘤的脾切除术治疗
Treatment by splenectomy of a portal vein aneurysm in hepatosplenic schistosomiasis.
作者信息
Mucenic Marcos, Rocha Md Manoel de Souza, Laudanna Antônio Atílio, Cancado Eduardo Luiz Rachid
机构信息
Department of Gastroenterology, School of Medicine, University of São Paulo, Brasil.
出版信息
Rev Inst Med Trop Sao Paulo. 2002 Sep-Oct;44(5):261-4. doi: 10.1590/s0036-46652002000500005.
Portal vein aneurysm is a rare medical entity that can be caused by chronic hepatic diseases with portal hypertension. We describe a 45-year-old man with variceal bleeding from hepatosplenic schistosomiasis and an incidentally found intrahepatic aneurysm. Diagnosis was confirmed with non-invasive imaging exams, arteriography and liver biopsy. Following splenectomy, the aneurysm diameter decreased substantially.
门静脉瘤是一种罕见的医学病症，可由伴有门静脉高压的慢性肝脏疾病引起。我们描述了一名45岁男性，患有肝脾血吸虫病引起的静脉曲张出血，并偶然发现了肝内动脉瘤。通过非侵入性成像检查、动脉造影和肝活检确诊。脾切除术后，动脉瘤直径大幅减小。
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