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罕见的急性肝扭转病例。

Rare case of an acute liver torsion.

机构信息

Department of Surgery, St. Antonius hospital, Nieuwegein, The Netherlands.

Department of Radiology, St. Antonius hospital, Nieuwegein, The Netherlands.

出版信息

Emerg Radiol. 2023 Apr;30(2):239-242. doi: 10.1007/s10140-023-02127-8. Epub 2023 Mar 27.

Abstract

Torsion of an abdominal organ often leads to an acute abdomen requiring emergency surgery. This report describes the rare case of an acute liver torsion in a 76-year-old man. Surgery revealed dislocation of the left liver lobe, which was flipped over to the right upper abdomen. There was a hypermobile and long falciform ligament and absence of the triangular ligaments. The liver was manually flipped back with subsequent fixation of the umbilical ligament to the diaphragm to prevent reoccurrence. The patient had an uneventful recovery and is doing well 3 months after surgery with good liver function.

摘要

腹部器官扭转通常会导致急性腹痛,需要紧急手术。本报告描述了 1 例罕见的 76 岁男性急性肝扭转病例。手术发现左肝叶脱位,翻转至右上腹部。存在活动性和长镰状韧带以及缺乏三角韧带。通过手动将肝脏翻转回来,并随后将脐韧带固定到膈肌上,以防止再次发生。患者术后恢复顺利,无并发症,术后 3 个月肝功能良好,恢复良好。

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