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一名无症状成年患者左肝叶弥漫性血管瘤病的特殊病例:病例报告及文献综述

A peculiar case of diffuse hemangiomatosis of the left hepatic lobe in an asymptomatic adult patient: case report and literature review.

作者信息

Guerra A, Infante A, Rinninella E, Spinelli I, Mazziotti M A, De Gaetano A M, Pompili M, Bonomo L

机构信息

Area Diagnostica per Immagini, UOC Radiologia, Fondazione Policlinico Universitario "A. Gemelli", Catholic University of the Sacred Hearth, Rome, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2017 Apr;21(7):1593-1597.

Abstract

We report a rare case of diffuse hepatic hemangiomatosis (DHH) of the left hepatic lobe coexistent with giant hepatic hemangioma and without extra-hepatic involvement in an asymptomatic adult patient. Liver hemangiomas are the most common benign liver tumors. However, DHH without extra-hepatic involvement has rarely been reported in adults. Furthermore, giant hepatic hemangioma coexistent with DHH is even uncommon, although an association between hemangiomatosis and giant hepatic hemangiomas may be supposed. In this peculiar case, we observed an exclusive and widespread involvement of the left hepatic lobe with a sharp boundary between normal and altered liver parenchyma running along Cantlie's line.

摘要

我们报告了一例罕见的左肝叶弥漫性肝血管瘤病(DHH),该患者为无症状成年患者,同时合并巨大肝血管瘤且无肝外受累情况。肝血管瘤是最常见的肝脏良性肿瘤。然而,成人中无肝外受累的DHH鲜有报道。此外,尽管血管瘤病与巨大肝血管瘤之间可能存在关联,但DHH合并巨大肝血管瘤的情况更为罕见。在这个特殊病例中,我们观察到左肝叶出现独特且广泛的病变,正常肝实质与病变肝实质之间沿着坎特利线有清晰的边界。

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