巨大非寄生虫性肝囊肿自发性破裂：一例报告
Spontaneous rupture of a large non-parasitic liver cyst: a case report.
作者信息
Miliadis Lazaros, Giannakopoulos Triantafillos, Boutsikos Georgios, Terzis Ioannis, Kyriazanos Ioannis D
机构信息
Department of Surgery, Naval and Veterans Hospital of Athens, Athens, Greece.
出版信息
J Med Case Rep. 2010 Jan 8;4:2. doi: 10.1186/1752-1947-4-2.
Abstract
INTRODUCTION
Non-parasitic hepatic cysts are benign entities, occur rarely (5% of the population), and in the majority of cases, are asymptomatic. Cysts can cause symptoms when they become large and produce bile duct compression or portal hypertension, and also when complications such as rupture, infection or hemorrhage take place.
CASE PRESENTATION
We present the case of a 70-year-old Greek-Caucasian man with a large, asymptomatic and non-parasitic liver cyst that presented as an acute surgical abdominal emergency after spontaneous rupture into the peritoneal cavity.
CONCLUSIONS
We present an extremely rare complication of simple liver cyst, its rupture in the free abdominal cavity, and its presentation as an acute abdomen. Large simple liver cysts should be treated with intervention at early recognition as conservative management usually results in their recurrence.
摘要
引言
非寄生虫性肝囊肿是良性病变，发病率较低（占总人口的5%），大多数情况下无症状。当囊肿变大并导致胆管受压或门静脉高压时，以及发生破裂、感染或出血等并发症时，囊肿会引发症状。
病例介绍
我们报告一例70岁希腊裔高加索男性病例，其患有一个巨大、无症状的非寄生虫性肝囊肿，该囊肿自发破裂进入腹腔后引发了急性腹部外科急症。
结论
我们呈现了单纯性肝囊肿一种极其罕见的并发症，即其在游离腹腔内破裂并表现为急腹症。大型单纯性肝囊肿一旦早期确诊应予以干预治疗，因为保守治疗通常会导致其复发。
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