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先天性肝里德尔叶:一例报告。

Congenital Riedel's lobe of the liver: A case report.

作者信息

Patel Ankoor H, Amin Rajan, Abdelsayed George

机构信息

Department of Internal Medicine, Robert Wood Johnson School of Medicine, Rutgers Biomedical and Health Sciences (RBHS), Rutgers University, New Jersey, USA.

Department of Gastroenterology and Hepatology, Rutgers Robert Wood Johnson School of Medicine, New Jersey, USA.

出版信息

Hepatol Forum. 2024 Feb 12;5(2):87-89. doi: 10.14744/hf.2023.2023.0007. eCollection 2024.

DOI:10.14744/hf.2023.2023.0007
PMID:38487741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10936122/
Abstract

Riedel's lobe of the liver is a rare anatomical variant often incidentally found on imaging or through the presence of hepatomegaly on physical examination. While patients are usually asymptomatic, the presentation of this condition can vary, ranging from nonspecific symptoms to more severe issues such as torsion, obstruction, rupture, and bleeding. We present a case of a patient with asymptomatic hepatomegaly who was incidentally found to have Riedel's lobe of the liver, accompanied by an elevated IgG mitochondrial antibody. The range of symptoms associated with this rare anatomical variation underscores its importance in diagnosis and surveillance within this patient population.

摘要

肝的里德尔叶是一种罕见的解剖变异,常在影像学检查时偶然发现,或在体格检查发现肝肿大时被发现。虽然患者通常无症状,但这种情况的表现可能各不相同,从非特异性症状到更严重的问题,如扭转、梗阻、破裂和出血。我们报告一例无症状性肝肿大患者,偶然发现其患有肝的里德尔叶,并伴有IgG线粒体抗体升高。与这种罕见解剖变异相关的一系列症状凸显了其在该患者群体诊断和监测中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a44/10936122/4760f9dc1a42/hf-5-087-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a44/10936122/f35f2e2b4eef/hf-5-087-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a44/10936122/4760f9dc1a42/hf-5-087-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a44/10936122/f35f2e2b4eef/hf-5-087-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a44/10936122/4760f9dc1a42/hf-5-087-g002.jpg

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本文引用的文献

1
Accessory liver lobes: anatomical description and clinical implications.副肝叶:解剖学描述及临床意义
J Visc Surg. 2014 Dec;151(6):451-5. doi: 10.1016/j.jviscsurg.2014.09.013. Epub 2014 Oct 28.
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Intermittent torsion of accessory hepatic lobe: An unusual cause of recurrent right upper quadrant pain.副肝叶间歇性扭转:复发性右上腹疼痛的罕见原因。
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