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肝内血栓形成——并发症背后的隐患——病例报告

Liver Clot - The Catch Behind the Complication - A Case Report.

作者信息

Nair Vivek Sunil, Pavitran Anegh, Bhosale Nishita Shivaji, Sane Vikrant Dilip, Sane Rashmi

机构信息

Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed to be University Dental College and Hospital, Pune, Maharashtra, India.

Department of Oral and Maxillofacial Surgery, Alwajh General Hospital, Tabuk, Saudi Arabia.

出版信息

Ann Maxillofac Surg. 2023 Jul-Dec;13(2):255-257. doi: 10.4103/ams.ams_47_23. Epub 2023 Oct 6.

Abstract

RATIONALE

Complications arising from the extraction of an over-retained deciduous tooth root are an extremely rare event in a dental office, just like liver clots post-extraction of teeth.

PATIENT CONCERN

The patient reported to the department on the third post-operative day following extraction of a deciduous root stump, complaining of swelling with respect to the extraction site and inability to open his mouth completely.

DIAGNOSIS

An unusual presentation of a 'currant blood clot' also commonly known as 'liver clot' was noted in the extraction site.

TREATMENT

An excisional biopsy of the mass was done under local anaesthesia and the sample was sent for histopathological analysis. Suspecting an underlying haematological condition, the patient was further referred to the Department of General Medicine at the institute for opinion and further investigations.

OUTCOME

The blood investigations and subsequent peripheral blood smear analysis and bone marrow aspirate biopsy confirmed that the patient was a case of undiagnosed chronic myeloid leukaemia in the chronic phase.

TAKE-AWAY LESSONS: Proper knowledge of possible complications and the reasons behind the same can prove beneficial for the overall health of the patient.

摘要

原理

在牙科诊所,过度保留的乳牙牙根拔除引发的并发症是极为罕见的事件,就如同拔牙后出现肝凝血块一样。

患者情况

患者在拔除乳牙残根后的术后第三天到科室就诊,主诉拔牙部位肿胀且无法完全张口。

诊断

在拔牙部位发现了一种不寻常的“醋栗血凝块”表现,也通常被称为“肝凝血块”。

治疗

在局部麻醉下对肿块进行了切除活检,并将样本送去做组织病理学分析。由于怀疑存在潜在的血液系统疾病,患者被进一步转至该机构的普通内科征求意见并进行进一步检查。

结果

血液检查以及随后的外周血涂片分析和骨髓穿刺活检证实,该患者为一例未被诊断出的慢性期慢性髓系白血病病例。

经验教训

对可能的并发症及其背后的原因有充分了解,对患者的整体健康可能会有帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afeb/10883207/29229ba21bb5/AMS-13-255-g001.jpg

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