自发性肝出血导致急性肝衰竭并需要进行肝移植
Spontaneous Hepatic Hemorrhage Causing Acute Liver Failure Requiring Liver Transplant.
作者信息
Shukla Krunal, Chaudhari Rahul, Asgharpour Amon
机构信息
Virginia Commonwealth School of Medicine, Richmond, VA.
Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA.
出版信息
ACG Case Rep J. 2024 Feb 2;11(2):e01268. doi: 10.14309/crj.0000000000001268. eCollection 2024 Feb.
Abstract
Spontaneous hepatic hemorrhage (SHH) is a very rare but life-threatening entity that results from a breach in the hepatic parenchyma without any external cause, the most common being hepatocellular carcinoma and hepatic adenoma. We present a case of SHH without any underlying tumor or injury. The cause in our patient remained unclear, but we hypothesize that the patient's SHH was most likely coagulopathy-related.
摘要
自发性肝出血（SHH）是一种非常罕见但危及生命的病症，它是由肝实质破裂引起的，没有任何外部原因，最常见的原因是肝细胞癌和肝腺瘤。我们报告一例无任何潜在肿瘤或损伤的SHH病例。我们患者的病因尚不清楚，但我们推测患者的SHH很可能与凝血病有关。
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本文引用的文献
1
Idiopathic Spontaneous Intrahepatic Hemorrhage Initially Diagnosed as a Liver Neoplasm.
Am Surg. 2023 Apr;89(4):1222-1225. doi: 10.1177/0003134820982846. Epub 2021 Jan 27.
2
Large spontaneous subcapsular hematoma of the liver: a rare case report.巨大自发性肝包膜下血肿：一例罕见病例报告
Pan Afr Med J. 2019 Jan 10;32:16. doi: 10.11604/pamj.2019.32.16.17083. eCollection 2019.
3
Liver Subcapsular Hematoma: A Rare Cause of Sudden Unexpected Death.肝包膜下血肿：意外猝死的罕见原因。
Am J Forensic Med Pathol. 2017 Mar;38(1):9-10. doi: 10.1097/PAF.0000000000000280.
4
Spontaneous hepatic haemorrhage: a review of pathogenesis, aetiology and treatment.自发性肝出血：发病机制、病因及治疗综述
HPB (Oxford). 2015 Oct;17(10):872-80. doi: 10.1111/hpb.12474. Epub 2015 Aug 7.
5
Spontaneous abdominal hemorrhage: causes, CT findings, and clinical implications.自发性腹腔内出血：病因、CT表现及临床意义。
AJR Am J Roentgenol. 2009 Oct;193(4):1077-87. doi: 10.2214/AJR.08.2231.
6
CT criteria for differentiating abdominal hemorrhage: anticoagulation or aortic aneurysm rupture?鉴别腹腔内出血的CT标准：抗凝相关还是主动脉瘤破裂？
AJR Am J Roentgenol. 2007 May;188(5):1324-30. doi: 10.2214/AJR.05.1911.
7
Abdominal imaging features of HELLP syndrome: a 10-year retrospective review.
AJR Am J Roentgenol. 2005 Nov;185(5):1205-10. doi: 10.2214/AJR.04.0817.
8
Spontaneous liver rupture in a child with graft-versus-host disease.一名患有移植物抗宿主病的儿童发生自发性肝破裂。
J Pediatr Surg. 2004 Sep;39(9):e1-3. doi: 10.1016/j.jpedsurg.2004.05.032.
9
Spontaneous rupture of hepatocellular carcinoma: conservative management and selective intervention.肝细胞癌自发性破裂：保守治疗与选择性干预
Arch Surg. 1999 Oct;134(10):1103-7. doi: 10.1001/archsurg.134.10.1103.
10
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Br J Surg. 1999 Sep;86(9):1121-35. doi: 10.1046/j.1365-2168.1999.01210.x.
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