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动脉栓塞治疗多发性肾肝血管错构瘤自发性出血及 2 年随访:1 例报告。

Arterial embolization in the treatment of multiple renal and hepatic hamartomas with spontaneous hemorrhage and 2-year follow-up: a case report.

机构信息

Department of Interventional Radiology, Fengjie County People's Hospital, Chongqing, China.

Department of Oncology, Fengjie County People's Hospital, Chongqing, China.

出版信息

J Med Case Rep. 2024 Apr 16;18(1):208. doi: 10.1186/s13256-024-04368-8.

Abstract

BACKGROUND

Hamartoma is a common benign tumor that usually occurs in the kidney, liver, lung, and pancreas. Large renal hamartomas may spontaneously rupture and hemorrhage, which is potentially life-threatening.

CASE PRESENTATION

This report describes a 46-year-old Han Chinese female patient with multiple renal and hepatic hamartomas with rupture and hemorrhage of giant hamartoma in the left kidney. She underwent arterial embolization three times successively, and her condition was stable during the 2-year follow-up. This report includes a review of the relevant literature CONCLUSIONS: the findings in this report and previous literature suggest that arterial embolization can not only rapidly treat hamartoma hemorrhage in the acute phase but can also effectively control multiple lesions in the long term after repeated multisite arterial embolization.

摘要

背景

错构瘤是一种常见的良性肿瘤,通常发生在肾脏、肝脏、肺和胰腺。大的肾脏错构瘤可能会自发破裂和出血,这可能会危及生命。

病例介绍

本报告描述了一位 46 岁的汉族女性患者,患有多个肾脏和肝脏错构瘤,左肾的巨大错构瘤破裂和出血。她先后进行了 3 次动脉栓塞,在 2 年的随访中病情稳定。本报告包括对相关文献的回顾。

结论

本报告和以往文献中的结果表明,动脉栓塞不仅可以在急性期迅速治疗错构瘤出血,而且在多次多部位动脉栓塞后也可以有效地控制长期的多发病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e997/11020817/deea4df50b89/13256_2024_4368_Fig1_HTML.jpg

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