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多囊性肝病的肝移植:一例报告

Liver transplantation for polycystic liver disease: a case report.

作者信息

Niibek Maris, Uksov Andrei

机构信息

Surgery Clinic, Tartu University Hospital, L. Puusepa 8, Tartu 51014, Estonia.

出版信息

J Surg Case Rep. 2023 Sep 16;2023(9):rjad507. doi: 10.1093/jscr/rjad507. eCollection 2023 Sep.

Abstract

A 57-year-old man complained about abdominal distension and pain, constant feeling of early satiety. He was diagnosed with polycystic kidneys at the age of 24 and liver cysts discovered at the age of 38. The CT scan revealed 33 x 21 x 27 cm polycystic liver with cysts up to 7 cm in diameter. In 2009-2019 the patient was repeatedly punctured for liver cysts. Considering the continued enlargement of the liver and the worsening of complaints, the patient was put on the waiting list for a liver transplant in the spring of 2019. The patient went through liver transplantation on 11th of July 2022, the liver measures were 53 x 37 x 39 x 16 cm and weight 14,75 kg. The postoperative course was uneventful. Liver transplantation can be very effective treatment method that significantly improves the quality of life in PLD patients.

摘要

一名57岁男性主诉腹胀、腹痛,常有早饱感。他24岁时被诊断为多囊肾,38岁时发现肝囊肿。CT扫描显示肝脏有一个33×21×27厘米的多囊,囊肿直径达7厘米。2009年至2019年,该患者因肝囊肿多次接受穿刺治疗。鉴于肝脏持续增大且症状加重,该患者于2019年春季被列入肝移植等待名单。该患者于2022年7月11日接受了肝移植,肝脏尺寸为53×37×39×16厘米,重量为14.75千克。术后过程顺利。肝移植是一种非常有效的治疗方法,可显著提高多囊肝病患者的生活质量。

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Liver transplantation for polycystic liver disease: a case report.多囊性肝病的肝移植:一例报告
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本文引用的文献

2
Polycystic kidney disease.多囊肾病。
Nat Rev Dis Primers. 2018 Dec 6;4(1):50. doi: 10.1038/s41572-018-0047-y.
3
Clinical management of polycystic liver disease.多囊肝疾病的临床管理。
J Hepatol. 2018 Apr;68(4):827-837. doi: 10.1016/j.jhep.2017.11.024. Epub 2017 Nov 24.
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Tolvaptan for the Treatment of Enlarged Polycystic Liver Disease.托伐普坦用于治疗多囊肝肿大疾病。
Case Rep Nephrol Dial. 2017 Jul 19;7(3):108-111. doi: 10.1159/000477664. eCollection 2017 May-Aug.
10
Therapeutic Targets in Polycystic Liver Disease.多囊肝病的治疗靶点
Curr Drug Targets. 2017;18(8):950-957. doi: 10.2174/1389450116666150427161743.

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