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一名多灶性肝细胞癌患者肝门静脉与右肾静脉之间的门体分流:病例报告

Portal systemic shunt between the hepatic portal vein and right renal vein in a patient with multifocal hepatocellular carcinoma: Case report.

作者信息

Sabol Pušić Mateja, Budimir Ivan, Dorosulić Zdravko, Ostrički Branko, Nikolić Marko, Lovrenčić Prpić Gordana, Sreter Katherina B

机构信息

Department of Cardiology with Coronary Care Unit, County Hospital Čakovec, Čakovec 40000, I. G. Kovačića 1e, Croatia.

Division of Gastroenterology, Department of Internal Medicine, "Sestre milosrdnice" University Hospital Center, Medical and Dental Faculty, University of Zagreb, Zagreb 10000, Vinogradska 29, Croatia.

出版信息

J Clin Ultrasound. 2017 Oct;45(8):524-527. doi: 10.1002/jcu.22437. Epub 2017 Feb 2.

Abstract

Portal hypertension is a clinical syndrome characterized by the development of collateral circulation and portosystemic shunts, as well as ascites and hepatic encephalopathy. We present the case of a large portosystemic shunt between the hepatic portal vein and aneurysmal right renal vein in a cirrhotic 64-year-old man with thrombosis of the portal vein and hepatocellular carcinoma. This is a very rare clinical manifestation which, to our knowledge, has been described only once previously in the literature. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:524-527, 2017.

摘要

门静脉高压是一种临床综合征,其特征为侧支循环和门体分流的形成,以及腹水和肝性脑病。我们报告了一例64岁肝硬化男性患者的病例,该患者门静脉血栓形成并患有肝细胞癌,其肝门静脉与右肾动脉瘤样静脉之间存在一个大的门体分流。这是一种非常罕见的临床表现,据我们所知,此前文献中仅描述过一次。© 2017威利期刊公司。《临床超声杂志》2017年第45卷,第524 - 527页

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