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一次罕见的邂逅:肝脏肿大被诊断为多发性巨大肝血管瘤

A Rare Encounter: Hepatomegaly Unmasked as Multiple Giant Hepatic Hemangiomas.

作者信息

Gopalan Vasundara, Tote Darshana, Zade Anup A, Durge Shubham, John Jubin, Bhargava Abhilasha

机构信息

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 6;16(9):e68814. doi: 10.7759/cureus.68814. eCollection 2024 Sep.

DOI:10.7759/cureus.68814
PMID:39376836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11458059/
Abstract

A hepatic hemangioma is a benign liver tumor made up of a number of blood-filled chambers surrounded by liver-supplied endothelial cells. Most liver hemangiomas are asymptomatic and are only discovered during imaging studies for other conditions. Ultrasound is used for initial screening followed by a computed tomography scan, which shows slow enhancement due to small vessels and can be used to diagnose the location, number, and size of a hepatic hemangioma. A large liver hemangioma can range in size from 10 centimeters to more than 20 centimeters and can cause symptoms and complications that require prompt intervention. Hepatic hemangiomas can co-occur with other localized hepatic lesions; a careful diagnosis is necessary to distinguish them. In this case study, a 48-year-old woman complained of a stomachache that had persisted for three months. Following an initial clinical evaluation, hepatomegaly was found, and contrast-enhanced computed tomography (CECT) abdomen and pelvis was performed, revealing numerous giant hepatic hemangiomas. Significant improvements were noted in the patient's condition with tumor embolization.

摘要

肝血管瘤是一种良性肝脏肿瘤,由多个充满血液的腔室组成,周围环绕着由肝脏供血的内皮细胞。大多数肝血管瘤没有症状,仅在因其他疾病进行影像学检查时才被发现。超声用于初步筛查,随后进行计算机断层扫描,该扫描显示由于小血管导致的缓慢强化,可用于诊断肝血管瘤的位置、数量和大小。大的肝血管瘤大小范围从10厘米到超过20厘米,可引起需要及时干预的症状和并发症。肝血管瘤可与其他局限性肝脏病变同时出现;需要仔细诊断以区分它们。在本病例研究中,一名48岁女性主诉持续三个月的胃痛。经过初步临床评估,发现肝脏肿大,并进行了腹部和盆腔的对比增强计算机断层扫描(CECT),发现了许多巨大肝血管瘤。经肿瘤栓塞治疗后,患者病情有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f3/11458059/0bbf4c3d619b/cureus-0016-00000068814-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f3/11458059/0bbf4c3d619b/cureus-0016-00000068814-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f3/11458059/0bbf4c3d619b/cureus-0016-00000068814-i01.jpg

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本文引用的文献

1
A Case Report: Giant Liver Hemangioma Treated with Transcatheter Embolization.病例报告:经导管栓塞治疗巨大肝血管瘤
Cureus. 2024 Aug 1;16(8):e65927. doi: 10.7759/cureus.65927. eCollection 2024 Aug.
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Liver Transplantation for Giant Hemangioma Complicated by Kasabach-Merritt Syndrome: A Case Report and Literature Review.肝移植治疗伴有卡-梅综合征的巨大血管瘤:病例报告及文献复习。
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J Med Life. 2015;8 Spec Issue(Spec Issue):4-11.
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Surgical Treatment of Giant Liver Hemangioma Larger Than 10 cm: A Single Center's Experience With 86 Patients.直径大于10厘米的巨大肝脏血管瘤的外科治疗:单中心86例患者的经验
Medicine (Baltimore). 2015 Aug;94(34):e1420. doi: 10.1097/MD.0000000000001420.
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Enucleation after Embolization of Liver Failure-Causing Giant Liver Hemangioma.导致肝功能衰竭的巨大肝血管瘤栓塞术后眼球摘除术
Am J Case Rep. 2015 Aug 24;16:563-7. doi: 10.12659/AJCR.893298.