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肝海绵状血管瘤自发性破裂:一例罕见的意外猝死病例

Spontaneous Rupture of a Hepatic Cavernous Hemangioma: A Rare Case of Sudden Unexpected Death.

作者信息

Bel Hadj Mariem, Marzougui Mohamed, Ben Abdeljelil Nouha, Dhouieb Rim, Zakhama Abdelfattah, Chadly Ali

机构信息

From the Departments of Forensic Medicine and Laboratory of Research LR12SP14.

Anatomopathologie and Cytology, Teaching Hospital Fattouma Bourguiba, University of Monastir, Monastir, Tunisia.

出版信息

Am J Forensic Med Pathol. 2020 Jun;41(2):138-140. doi: 10.1097/PAF.0000000000000552.

Abstract

Cavernous hemangiomas represent the most common benign tumors affecting the liver. They are more often asymptomatic and usually diagnosed through radiological examinations performed for other reasons. When there are symptomatic, they may cause digestive disorders such as abdominal pain, nausea, vomiting, or a palpable mass. Sudden death may occur as a result of rupture and bleeding. Spontaneous rupture of cavernous hepatic hemangioma is a rare complication, but the mortality rate is high. We report a rare case of sudden unexpected death of a 46-year-old woman due to a spontaneous rupture of a giant hepatic cavernous hemangioma discovered at autopsy.

摘要

海绵状血管瘤是影响肝脏的最常见的良性肿瘤。它们通常无症状,多因其他原因进行的放射学检查而被诊断出来。出现症状时,可能会导致消化系统紊乱,如腹痛、恶心、呕吐或可触及的肿块。破裂出血可能导致猝死。肝海绵状血管瘤的自发破裂是一种罕见的并发症,但死亡率很高。我们报告了一例罕见病例,一名46岁女性因尸检时发现的巨大肝海绵状血管瘤自发破裂而意外猝死。

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