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弥漫性浸润性喉食管和腹膜静脉畸形伴锁骨下静脉瘤,酷似癌转移。

Diffuse infiltrative laryngoesophageal and peritoneal venous malformations mimicking carcinomatosis with a subclavian vein aneurysm.

作者信息

Choi Hee Young, Lee Kyung Mi, Kim Eui Jong, Choi Woo Suk

机构信息

Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, #26 Kyunghee-daero, Dongdaemun-gu, Seoul, 130-701, Republic of Korea.

Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, #26 Kyunghee-daero, Dongdaemun-gu, Seoul, 130-701, Republic of Korea.

出版信息

Clin Imaging. 2015 Nov-Dec;39(6):1099-102. doi: 10.1016/j.clinimag.2015.07.034. Epub 2015 Aug 4.

Abstract

Venous malformations are benign vascular lesions that can occur in any part of the body. Esophageal venous malformations can extend into the peritoneum, so preoperative imaging can be decisive in diagnosis and treatment. The characteristic manifestations of venous malformations are transmural phleboliths, centripetal enhancement on dynamic CT, and bluish mucosa on endoscopy. We report a rare case of female patient diagnosed with venous malformations involving laryngoesophagus, mediastinum, and peritoneum, which mimicked carcinomatosis, in addition to a left subclavian vein aneurysm.

摘要

静脉畸形是一种可发生于身体任何部位的良性血管病变。食管静脉畸形可延伸至腹膜,因此术前影像学检查对诊断和治疗起决定性作用。静脉畸形的特征性表现为透壁静脉石、动态CT上的向心性强化以及内镜检查时的蓝色黏膜。我们报告一例罕见的女性患者,诊断为累及喉食管、纵隔和腹膜的静脉畸形,酷似癌转移,此外还有左锁骨下静脉动脉瘤。

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