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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.

DOI:10.1590/s0036-46652002000500005
PMID:12436166
Abstract

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.

摘要

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。

相似文献

1
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引用本文的文献

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Asymptomatic Portal Vein Aneurysm Uncovered During the Evaluation of a Gastrointestinal Hemorrhage: A Rare Clinical Case.在评估胃肠道出血过程中发现的无症状门静脉瘤:一例罕见临床病例
Cureus. 2024 Sep 1;16(9):e68388. doi: 10.7759/cureus.68388. eCollection 2024 Sep.
2
Blood Flukes and Arterial Damage: A Review of Aneurysm Cases in Patients with Schistosomiasis.血吸虫与动脉损伤:血吸虫病患者动脉瘤病例综述
Can J Infect Dis Med Microbiol. 2022 Dec 3;2022:6483819. doi: 10.1155/2022/6483819. eCollection 2022.
3
Portal vein aneurysms: a case series with literature review.
门静脉瘤:病例系列并文献复习
J Radiol Case Rep. 2010;4(6):28-38. doi: 10.3941/jrcr.v4i6.431. Epub 2010 Jun 1.
4
Review.综述
Gastroenterol Hepatol (N Y). 2007 Apr;3(4):299-300.
5
Portal vein aneurysm: case report and review of the literature.门静脉瘤:病例报告及文献综述
Gastroenterol Hepatol (N Y). 2007 Apr;3(4):296-8.
6
Congenital portal vein aneurysm associated with peliosis hepatis and intestinal lymphangiectasia.先天性门静脉瘤与肝血窦扩张和肠淋巴管扩张相关。
Gastroenterol Res Pract. 2009;2009:479264. doi: 10.1155/2009/479264. Epub 2010 Mar 30.