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盐酸米诺环素硬化治疗联合囊内冲洗治疗症状性巨大肝囊肿的长期疗效1例

[A case of long-term efficacy of minocycline hydrochloride sclerotherapy combined with intra-cystic lavage for a symptomatic giant liver cyst].

作者信息

Ogawa Kazuya, Kamimura Kenya, Ishii Soichi, Endo Saori, Ishikawa Natsuki, Abe Hiroyuki, Sakamaki Akira, Terai Shuji

机构信息

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University.

Department of General Medicine, Niigata University School of Medicine.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2024;121(9):769-776. doi: 10.11405/nisshoshi.121.769.

Abstract

Herein, we report a case of a man with a large symptomatic hepatic cyst that gradually enlarged over a follow-up period of 15 years, which eventually caused epigastric fullness and obstructive jaundice. The patient underwent percutaneous cystic drainage followed by sclerotherapy using minocycline hydrochloride combined with intracystic lavage. The treatment resulted in a significant reduction in the hepatic cyst size, symptom improvement, and absence of recurrence for 670 days.

摘要

在此,我们报告一例患有巨大症状性肝囊肿的男性病例,该囊肿在15年的随访期内逐渐增大,最终导致上腹部饱胀和梗阻性黄疸。患者接受了经皮囊肿引流,随后使用盐酸米诺环素联合囊内灌洗进行硬化治疗。治疗后肝囊肿大小显著减小,症状改善,且670天未复发。

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