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一例以腹腔积血为表现的胃胃肠道间质瘤自发性破裂肝转移瘤

A Spontaneously Ruptured Hepatic Metastasis From a Gastric Gastrointestinal Stromal Tumor That Presented as Hemoperitoneum.

作者信息

Yoon Jung-Hee

机构信息

Inje University, Busan, Korea.

出版信息

J Investig Med High Impact Case Rep. 2013 Nov 25;1(4):2324709613512475. doi: 10.1177/2324709613512475. eCollection 2013 Oct-Dec.

Abstract

Spontaneous hepatic hemorrhage is a rare condition that may be caused by an underlying hepatic tumor, most commonly hepatocellular carcinoma or hepatic adenoma. A spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor is also extremely rare, and the majority of affected patients present with hypovolemic shock or an acute abdomen. In this article, we report the case of a 65-year-old man with a spontaneous rupture of a hepatic metastasis from a gastric gastrointestinal stromal tumor that presented as hypovolemic shock. Cross-sectional imaging studies (computed tomography or magnetic resonance imaging) play a significant role in the diagnosis of this condition and guides its management.

摘要

自发性肝出血是一种罕见的病症,可能由潜在的肝脏肿瘤引起,最常见的是肝细胞癌或肝腺瘤。胃胃肠道间质瘤肝转移灶的自发性破裂也极为罕见,大多数受影响的患者表现为低血容量性休克或急腹症。在本文中,我们报告了一例65岁男性患者,其胃胃肠道间质瘤肝转移灶自发性破裂并表现为低血容量性休克。横断面成像研究(计算机断层扫描或磁共振成像)在该病症的诊断中发挥着重要作用,并指导其治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81e1/4528841/32cd5c0eea99/10.1177_2324709613512475-fig1.jpg

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