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[肱三头肌韧带血管瘤:腹腔镜手术方法]

[Teres ligament hemangioma: laparoscopic approach].

作者信息

Blanco Luis A, Palermo Mariano, Houghton Eduardo, Duza Guillermo E, Giménez Mariano E

出版信息

Acta Gastroenterol Latinoam. 2016 Jun;46(2):106-9.

Abstract

Hemangiomas are benign vascular tumors, whose origin comes from the embryonic mesodermal tissue remains. The liver is the most common location. Its location in the teres ligament is extremely rare. This is a 59 years old male admitted because of episodes of epigastric pain for six months. A CT scan and MRI demostrated a 2 cm diameter lesion located near the Teres ligament. Laparoscopic resection was performed. Hemangiomas are the most common benign solid tumors located in the liver. They represents 73% of all benign liver tumors. MRI is the imaging of greater certainty for diagnosis. The Teres ligament (ligamentum teres hepatis) is a fibrous cord resulting in obliteration of the umbilical vein. The location of hemangiomas in this region is extremely rare but should be considered and should make the differential diagnosis with a pedicled hepatic hemangioma or gastointestinal stromal tumors.

摘要

血管瘤是良性血管肿瘤,其起源于胚胎中胚层组织遗迹。肝脏是最常见的发病部位。其位于圆韧带处极为罕见。这是一名59岁男性,因上腹部疼痛发作6个月入院。CT扫描和磁共振成像(MRI)显示在圆韧带附近有一个直径2厘米的病变。进行了腹腔镜切除术。血管瘤是肝脏中最常见的良性实体肿瘤。它们占所有肝脏良性肿瘤的73%。MRI是诊断确定性更高的影像学检查。圆韧带(肝圆韧带)是一条纤维索,由脐静脉闭塞形成。血管瘤在此区域的位置极为罕见,但应予以考虑,并应与带蒂肝血管瘤或胃肠道间质瘤进行鉴别诊断。

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