Foo Sin Yee, Paul Laura, Viswanathan Subra
Radiology, ST4 Radiology, West of Scotland Deanery, Glasgow, Scotland.
Radiology, ST2 Radiology, West of Scotland Deanery, Glasgow, Scotland.
BJR Case Rep. 2017 Nov 17;4(1):20170056. doi: 10.1259/bjrcr.20170056. eCollection 2018.
This case report describes a rare complication of hepatic adenomata in a 33-year-old female. The patient initially presented with abdominal pain, and baseline imaging demonstrated several hepatic adenomas, the largest of which (approximately 8 cm) was adjacent to the inferior vena cava. Owing to the location of this adenoma, surgical/vascular intervention was deemed inappropriate. The patient was actively observed for approximately 4 years, and managed supportively during any recurrent episodes. With follow-up CT/MRI scans, the "natural history" of this particular lesion, including haemorrhage, thrombosis and infarction, was observed. However, as intervention was unsuitable, further MRI was performed in view of these complications, allowing observation of the end-stage features of the adenoma. Appearances were consistent with a rare complication of hepatic adenoma, . cystic degeneration, a process well documented in uterine leiomyoma.
本病例报告描述了一名33岁女性肝腺瘤的罕见并发症。患者最初表现为腹痛，基线影像学检查发现多个肝腺瘤，其中最大的一个（约8厘米）毗邻下腔静脉。由于该腺瘤的位置，手术/血管介入被认为不合适。患者被积极观察约4年，并在任何复发期间进行支持性治疗。通过随访CT/MRI扫描，观察到了这个特定病变的“自然病程”，包括出血、血栓形成和梗死。然而，由于干预不合适，鉴于这些并发症进行了进一步的MRI检查，从而观察到了腺瘤的终末期特征。表现与肝腺瘤的一种罕见并发症——囊性变一致，这一过程在子宫平滑肌瘤中有充分记载。
