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巨大单纯性肝囊肿:一例报告及相关文献综述

Giant simple hepatic cyst: a case report and review of relevant literature.

作者信息

Asuquo Maurice, Nwagbara Victor, Agbor Cyril, Otobo Fidelis, Omotoso Ayodele

机构信息

University of Calabar Teaching Hospital, Calabar, Surgery.

University of Calabar Teaching Hospital, Pathology.

出版信息

Afr Health Sci. 2015 Mar;15(1):293-8. doi: 10.4314/ahs.v15i1.40.

Abstract

BACKGROUND

Giant cysts of the liver are uncommon. Symptoms are related primarily to the mass effect of the enlarging cyst.

OBJECTIVE

To highlight the challenges of management of giant simple hepatic cyst in a resource limited setting.

CASE REPORT

Presented is a 58-year-old seamstress with a 5-year history of an enlarging abdominal mass with easy satiety. Surgery revealed an exophytic giant simple hepatic cyst arising from liver segment IV that drained 4.6 litres of serous fluid.

CONCLUSION

Simple hepatic cyst can attain giant dimensions and should be considered in the differential diagnosis of intraabdominal masses.

摘要

背景

巨大肝囊肿并不常见。症状主要与囊肿不断增大所产生的占位效应有关。

目的

强调在资源有限的情况下处理巨大单纯性肝囊肿所面临的挑战。

病例报告

本文介绍了一名58岁的女裁缝,有腹部肿块逐渐增大伴易饱感5年的病史。手术发现一个源于肝IV段的外生性巨大单纯性肝囊肿,抽出了4.6升浆液性液体。

结论

单纯性肝囊肿可发展至巨大尺寸,在腹腔内肿块的鉴别诊断中应予以考虑。

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Surgical management of a giant hepatic cyst with suspicious radiological features.具有可疑影像学特征的巨大肝囊肿的手术治疗
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A case of diminished pericardial effusion after treatment of a giant hepatic cyst.巨大肝囊肿治疗后心包积液减少一例。
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A 77-year-old female with a giant hepatic cyst.一名患有巨大肝囊肿的77岁女性。
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A case of diminished pericardial effusion after treatment of a giant hepatic cyst.巨大肝囊肿治疗后心包积液减少一例。
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本文引用的文献

1
Management of nonparasitic hepatic cysts.非寄生虫性肝囊肿的治疗。
J Am Coll Surg. 2009 Dec;209(6):733-9. doi: 10.1016/j.jamcollsurg.2009.09.006.
3
Laparoscopic fenestration of giant hepatic cysts.腹腔镜下巨大肝囊肿开窗术
Surg Laparosc Endosc Percutan Tech. 2008 Oct;18(5):511-3. doi: 10.1097/SLE.0b013e31817739e7.
5
Giant solitary hepatic cyst.
Liver Int. 2008 Jul;28(6):840. doi: 10.1111/j.1478-3231.2008.01728.x.
6
[Giant simple hepatic cysts as dyspnea symptom in a 93-year-old patient].
An Med Interna. 2007 Mar;24(3):135-7. doi: 10.4321/s0212-71992007000300008.
7
Giant solitary non-parasitic cyst of the liver.
Ir J Med Sci. 2005 Apr-Jun;174(2):60-2. doi: 10.1007/BF03169132.
8

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