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肝血肿作为肝紫癜病的一种表现形式。

Liver haematoma as a presentation of peliosis hepatis.

作者信息

Dave Yatee A, Gupta Alisha, Shah Mihir M, Carpizo Darren

机构信息

Rutgers Robert Wood Johnson Medical School New Brunswick, Piscataway, New Jersey, USA.

Division of General Internal Medicine and Geriatrics, Northwestern University, Chicago, Illinois, USA.

出版信息

BMJ Case Rep. 2019 Feb 22;12(2):e226737. doi: 10.1136/bcr-2018-226737.

Abstract

Peliosis hepatis (PH) is an uncommon, benign hepatic vascular condition involving liver lesions consisting of dilated sinusoidal spaces that ultimately lead to numerous blood-filled cavities within the liver parenchyma. We detail the case of a 62-year-old woman who presented with a large hepatic haematoma resulting from intracystic haemorrhage. She was subsequently diagnosed with PH via arteriogram. Her symptoms were successfully treated surgically with open fenestration. Patient's postoperative course was unremarkable, with no recurrence of symptoms to date.

摘要

肝紫癜病(PH)是一种罕见的良性肝脏血管疾病,其肝脏病变由扩张的窦状隙组成,最终导致肝实质内出现大量充满血液的腔隙。我们详细介绍了一名62岁女性的病例,该患者因囊内出血出现巨大肝血肿。随后通过血管造影诊断为PH。通过开放性开窗术对其症状进行了成功的手术治疗。患者术后恢复过程顺利,迄今为止症状未复发。

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本文引用的文献

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Peliosis hepatis: Personal experience and literature review.肝紫癜病:个人经验及文献综述
World J Gastroenterol. 2015 Dec 14;21(46):13188-94. doi: 10.3748/wjg.v21.i46.13188.
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Future Microbiol. 2010 Nov;5(11):1719-31. doi: 10.2217/fmb.10.133.
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