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遗传性出血性毛细血管扩张症相关的脾动脉动脉瘤和局灶性结节性增生伴腹部血管异常。

An Splenic Artery Aneurysm and Focal Nodular Hyperplasia Associated with an Abdominal Vascular Abnormality of Hereditary Hemorrhagic Telangiectasia.

机构信息

Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Japan.

Department of Dermatology, Saiseikai Tondabayashi Hospital, Japan.

出版信息

Intern Med. 2024 Oct 15;63(20):2787-2793. doi: 10.2169/internalmedicine.3270-23. Epub 2024 Feb 26.

Abstract

In October 2021, a 51-year-old woman developed a skin rash. Abdominal computed tomography revealed a large splenic artery aneurysm and an intrahepatic portovenous shunt. As her splenic artery aneurysm was at risk of rupture, she was referred to the Kindai University Hospital and underwent coiling surgery. In October 2023, approximately two years after she had been initially referred, contrast-enhanced ultrasound revealed findings suggestive of focal nodular hyperplasia. No reports have confirmed the occurrence of liver masses in patients with hereditary hemorrhagic telangiectasia, which is considered to be an interesting finding when investigating the mechanism of tumor development.

摘要

2021 年 10 月,一位 51 岁女性出现皮疹。腹部计算机断层扫描显示巨大脾动脉动脉瘤和肝内门体静脉分流。由于她的脾动脉动脉瘤有破裂的风险,她被转介到近畿大学医院并接受了线圈手术。2023 年 10 月,即最初转诊大约两年后,对比增强超声显示提示局灶性结节性增生的结果。没有报告证实遗传性出血性毛细血管扩张症患者发生肝肿块,这被认为是研究肿瘤发展机制时的一个有趣发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7108/11557209/b7019f9fc5a1/1349-7235-63-2787-g001.jpg

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