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妊娠期罕见良性肝脏病变的出血与破裂:一例报告

Hemorrhage and Rupture of an Unusual Benign Liver Lesion in Pregnancy: A Case Report.

作者信息

Agarwal Ayushi, Joy Danny, Das Prasenjit, Dash Nihar R, Srivastava Deep N, Madhusudhan Kumble S

机构信息

Departments of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

Gastrointestinal Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

出版信息

J Clin Exp Hepatol. 2021 Mar-Apr;11(2):260-263. doi: 10.1016/j.jceh.2020.07.004. Epub 2020 Jul 25.

Abstract

Liver rupture in pregnancy is an acute condition with significant risk to the mother and fetus. It is known to occur with tumors such as hepatic adenoma, infective causes such as abscess, granulomatous diseases, and parasitic infections, and rarely spontaneously. Most of these conditions have overlapping clinicoradiological findings, almost always requiring histopathological confirmation. We report a case of a ruptured hepatic lesion, with an unusual diagnosis of infection causing cat-scratch disease, in a 24-year-old pregnant lady.

摘要

妊娠期肝破裂是一种对母亲和胎儿有重大风险的急性病症。已知其与肝腺瘤等肿瘤、脓肿等感染性病因、肉芽肿性疾病及寄生虫感染有关,且很少自发发生。这些情况大多有重叠的临床放射学表现,几乎总是需要组织病理学确诊。我们报告一例24岁孕妇肝病变破裂的病例,其诊断为罕见的由猫抓病感染引起。

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Imaging of nontraumatic hemorrhagic hepatic lesions.非创伤性出血性肝脏病变的影像学检查
Radiographics. 2000 Mar-Apr;20(2):367-78. doi: 10.1148/radiographics.20.2.g00mc10367.

本文引用的文献

1
A rare case of spontaneous hepatic rupture in a pregnant woman.孕妇自发性肝破裂 1 例罕见病例报告。
BMC Pregnancy Childbirth. 2018 Apr 10;18(1):87. doi: 10.1186/s12884-018-1713-5.
3
Hepatic capsular rupture in pregnancy.妊娠期肝包膜破裂
Obstet Med. 2016 Dec;9(4):185-188. doi: 10.1177/1753495X16670480. Epub 2016 Oct 9.
9
Spontaneous rupture of eosinophilic liver abscess.嗜酸性肝脓肿自发性破裂
Eur J Gastroenterol Hepatol. 2014 Dec;26(12):1440-3. doi: 10.1097/MEG.0000000000000239.

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