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肝脏弥漫性恶性浸润表现为急性肝衰竭病例。

Diffuse malignant infiltration of the liver manifesting as a case of acute liver failure.

作者信息

Gilbert Jeffrey, Rutledge Heather, Koch Alvaro

机构信息

Division of Digestive Diseases and Nutrition, University of Kentucky Chandler Medical Center, 800 Rose Street, MN649, Lexington, KY 40536-0298, USA.

出版信息

Nat Clin Pract Gastroenterol Hepatol. 2008 Jul;5(7):405-8. doi: 10.1038/ncpgasthep1154. Epub 2008 Jun 3.

DOI:10.1038/ncpgasthep1154
PMID:18521114
Abstract

BACKGROUND

A 54-year-old male with a history of coronary artery disease, diabetes mellitus and 120 pack years of tobacco abuse presented to the emergency room with right upper quadrant abdominal pain, decreased appetite and dark urine.

INVESTIGATIONS

Laboratory investigations, chest radiograph, portal duplex, CT of the abdomen and pelvis, liver serologies and autopsy.

DIAGNOSIS

Fulminant hepatic failure secondary to metastatic small-cell lung carcinoma.

MANAGEMENT

Supportive care.

摘要

背景

一名54岁男性，有冠状动脉疾病、糖尿病病史，吸烟史达120包年，因右上腹腹痛、食欲减退和深色尿就诊于急诊室。

检查

实验室检查、胸部X光片、门静脉双功超声、腹部和盆腔CT、肝脏血清学检查及尸检。

诊断

转移性小细胞肺癌继发暴发性肝衰竭。

治疗

支持治疗。

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