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病例报告:一名儿童巨大副肝叶扭转合并左肝静脉分支血栓形成的病例。

Case report: A case of giant accessory hepatic lobe torsion combined with left hepatic vein branch thrombosis in a child.

作者信息

Xiong Xiangang, Lou Yonghua, Zhou Teng, Zheng Zebing, Liu Yuanmei, Liu Rui, Zhang Kaizhi, Gong Yuan, Tang Chengyan, Jin Zhu

机构信息

Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Department of Pediatric Surgery, Guizhou Children's Hospital, Zunyi, China.

出版信息

Front Pediatr. 2022 Sep 26;10:970876. doi: 10.3389/fped.2022.970876. eCollection 2022.

Abstract

The accessory hepatic lobe (AHL) is a rare congenital malformation of the hepatic tissue, among which the giant AHL is the rarest in children. Patients without complications are usually asymptomatic, and most auxiliary examinations cannot provide a definitive preoperative diagnosis. Surgical procedure is the only recommended management for patients who suffered from the complications of AHL. We report the case of a rare pediatric giant AHL torsion combined with left hepatic vein branch thrombosis which was successfully treated by laparoscopic lobectomy followed by excision of AHL.

摘要

副肝叶(AHL)是一种罕见的肝组织先天性畸形,其中巨大副肝叶在儿童中最为罕见。无并发症的患者通常无症状,大多数辅助检查无法提供明确的术前诊断。手术是治疗AHL并发症患者的唯一推荐方法。我们报告了一例罕见的小儿巨大副肝叶扭转合并左肝静脉分支血栓形成的病例,该病例通过腹腔镜肝叶切除术及随后切除副肝叶成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9006/9549201/b60e92f98a86/fped-10-970876-g001.jpg

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