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阿伯内西畸形诊断后的管理策略:一例病例报告。

Management strategy after diagnosis of Abernethy malformation: a case report.

作者信息

Witjes Caroline Dm, Ijzermans Jan Nm, Vonk Noordegraaf Anton, Tran Tc Khe

机构信息

Department of Hepatobiliary and Transplantation Surgery, Erasmus Medical Center, University Medical Center Rotterdam, P,O, Box 2040, Rotterdam, The Netherlands.

出版信息

J Med Case Rep. 2012 Jun 28;6:167. doi: 10.1186/1752-1947-6-167.

Abstract

INTRODUCTION

The Abernethy malformation is a rare anomaly with a widely variable clinical presentation. Many diagnostic dilemmas have been reported. Nowadays, with the evolution of medical imaging, diagnosis can be made more easily, but management of patients with an Abernethy malformation is still open for discussion.

CASE PRESENTATION

In this case study, we describe a 34-year-old Caucasian man who presented with a large hepatocellular carcinoma in the presence of an Abernethy malformation, which was complicated by the development of pulmonary arterial hypertension.

CONCLUSION

This case underlines the importance of regular examination of patients with an Abernethy malformation, even in older patients, to prevent complications and to detect liver lesions at an early stage.

摘要

引言

阿伯内西畸形是一种罕见的异常情况,临床表现差异很大。已有许多诊断难题的报道。如今,随着医学影像学的发展,诊断变得更容易,但阿伯内西畸形患者的治疗仍有待讨论。

病例报告

在本病例研究中,我们描述了一名34岁的白种男性,他在患有阿伯内西畸形的情况下出现了巨大肝细胞癌,并伴有肺动脉高压的并发症。

结论

该病例强调了对阿伯内西畸形患者进行定期检查的重要性,即使是老年患者,以预防并发症并早期发现肝脏病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/252c/3419678/c4c83c064d68/1752-1947-6-167-1.jpg

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