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局灶性结节性增生引起的胆囊管受压。

Compression of cystic duct caused by focal nodular hyperplasia.

作者信息

Bente Andreea, Ouedraogo Moussa, Kasbawala Kinjal N, Glasgow Kristen M

机构信息

Clinical Rotations, Saba University School of Medicine, Devens, MA, USA.

General Surgery, Bridgeport Hospital, Bridgeport, CT, USA.

出版信息

J Surg Case Rep. 2019 Oct 10;2019(10):rjz254. doi: 10.1093/jscr/rjz254. eCollection 2019 Oct.

DOI:10.1093/jscr/rjz254
PMID:31616554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6786132/
Abstract

A 29-year-old female presenting with symptoms of biliary colic was found to have a liver mass compressing the cystic duct. Due to the anatomical placement of the growth, the compressed duct produced symptoms mimicking acute cholecystitis. The mass was diagnosed as focal nodular hyperplasia (FNH) upon biopsy. FNH is commonly found incidentally with nonhepatic clinical presentation or during an unrelated surgical procedure. The scope of this paper is to bring awareness to uncommon causes of biliary colic. To our knowledge, there has been one other paper published with FNH being the primary cause of biliary colic.

摘要

一名29岁女性因胆绞痛症状就诊,发现肝脏有一肿块压迫胆囊管。由于该肿物的解剖位置,受压的胆囊管产生了类似急性胆囊炎的症状。活检后该肿块被诊断为局灶性结节性增生(FNH)。FNH通常在非肝脏临床表现时或在无关的外科手术过程中偶然发现。本文的目的是提高对胆绞痛罕见病因的认识。据我们所知,此前仅有一篇论文发表,报道FNH是胆绞痛的主要病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/6786132/c76f1db73b22/rjz254f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/6786132/c76f1db73b22/rjz254f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/6786132/c76f1db73b22/rjz254f1.jpg

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1
Compression of cystic duct caused by focal nodular hyperplasia.局灶性结节性增生引起的胆囊管受压。
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An unusual case of left hepatectomy for Focal Nodular Hyperplasia (FNH) linked to the use of Anabolic Androgenic Steroids (AASs).一例因使用合成代谢雄激素类固醇(AASs)引发局灶性结节性增生(FNH)而进行左肝切除术的罕见病例。
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引用本文的文献

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Focal Nodular Hyperplasia: A Comprehensive Review with a Particular Focus on Pathogenesis and Complications.局灶性结节性增生:一项特别关注发病机制和并发症的全面综述
J Clin Transl Hepatol. 2024 Feb 28;12(2):182-190. doi: 10.14218/JCTH.2023.00265. Epub 2024 Jan 2.
2
Pedunculated Focal Nodular Hyperplasia: When in Doubt, Should We Cut It Out?带蒂局灶性结节性增生:存疑时,我们是否应将其切除?
J Clin Med. 2023 Sep 18;12(18):6034. doi: 10.3390/jcm12186034.

本文引用的文献

1
Complete spontaneous regression of giant focal nodular hyperplasia of the liver: Magnetic resonance imaging evaluation with hepatobiliary contrast media.肝脏巨大局灶性结节性增生的完全自发消退:使用肝胆对比剂的磁共振成像评估
World J Gastroenterol. 2016 Dec 21;22(47):10461-10464. doi: 10.3748/wjg.v22.i47.10461.
2
Obstructive jaundice caused by a giant liver hemangioma with Kasabach-Merritt syndrome: a case report.巨大肝血管瘤伴卡萨巴赫-梅里特综合征导致的梗阻性黄疸:一例报告
Surg Case Rep. 2015 Dec;1(1):93. doi: 10.1186/s40792-015-0095-4. Epub 2015 Oct 6.
3
Oestrogen hormone receptors in focal nodular hyperplasia.
局灶性结节性增生中的雌激素激素受体
HPB (Oxford). 2015 Jun;17(6):502-7. doi: 10.1111/hpb.12387. Epub 2015 Feb 28.
4
Biliary obstruction due to a huge simple hepatic cyst treated with laparoscopic resection.巨大单纯性肝囊肿致胆管梗阻行腹腔镜切除术治疗
J Nippon Med Sch. 2011;78(2):105-9. doi: 10.1272/jnms.78.105.
5
Focal Nodular Hyperplasia in children presenting as acute Cholecystitis.以急性胆囊炎为表现的儿童局灶性结节性增生。
Int J Health Sci (Qassim). 2010 Nov;4(2):194-7.
6
Episodic biliary obstruction due to an intrahepatic biliary cystadenoma: a case report.肝内胆管囊腺瘤引起的间歇性胆管梗阻:一例报告
J Med Case Rep. 2009 Sep 8;3:9032. doi: 10.4076/1752-1947-3-9032.
7
Pathological diagnosis of liver cell adenoma and focal nodular hyperplasia: Bordeaux update.肝细胞腺瘤和局灶性结节性增生的病理诊断:波尔多最新进展。
J Hepatol. 2007 Mar;46(3):521-7. doi: 10.1016/j.jhep.2006.12.007. Epub 2007 Jan 2.
8
A quantitative gene expression study suggests a role for angiopoietins in focal nodular hyperplasia.一项基因表达定量研究表明血管生成素在局灶性结节性增生中起作用。
Gastroenterology. 2003 Mar;124(3):651-9. doi: 10.1053/gast.2003.50104.