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一例阿伯内西畸形：一种极其罕见的临床病症。

A case of the Abernethy malformation: An exceptionally rare clinical entity.

作者信息

Gibbons Jake

机构信息

Baylor University Medical Center, Department of Radiology, 3500 Gaston Avenue, Dallas, Texas, 75246, USA.

出版信息

Radiol Case Rep. 2024 Sep 23;19(12):6179-6182. doi: 10.1016/j.radcr.2024.09.035. eCollection 2024 Dec.

DOI:10.1016/j.radcr.2024.09.035
PMID:39376956
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11456782/
Abstract

I review a case of a 30-year-old woman who presented with diarrhea, nausea and vomiting for several days. She was ultimately diagnosed with acute gastroenteritis but was incidentally found to have a congenital extrahepatic portosystemic shunt, also known as the Abernethy malformation. The Abernethy malformation, first described by Dr John Abernethy in the year 1793, is an exceptionally rare clinical entity.

摘要

我回顾了一例30岁女性的病例，该患者出现腹泻、恶心和呕吐症状已有数天。她最终被诊断为急性肠胃炎，但偶然发现患有先天性肝外门体分流，也称为阿伯内西畸形。阿伯内西畸形由约翰·阿伯内西医生于1793年首次描述，是一种极其罕见的临床病症。

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本文引用的文献

1
Abernethy malformation: beware in cases of unexplained hepatic encephalopathy in adults-case report and review of the relevant literature.阿伯内西畸形：成人不明原因肝性脑病病例需警惕——病例报告及相关文献综述
BJR Case Rep. 2017 Nov 16;4(2):20170054. doi: 10.1259/bjrcr.20170054. eCollection 2018.
2
Congenital absence of the portal vein associated with focal nodular hyperplasia of the liver and congenital heart disease (Abernethy malformation): A case report and literature review.先天性门静脉缺如合并肝局灶性结节性增生及先天性心脏病（阿伯内西畸形）：一例报告并文献复习
Oncol Lett. 2015 Feb;9(2):695-700. doi: 10.3892/ol.2014.2767. Epub 2014 Dec 4.
3
The role of operative intervention in management of congenital extrahepatic portosystemic shunt.
先天性肝外门体分流术的手术干预作用。
Surgery. 2012 Mar;151(3):404-11. doi: 10.1016/j.surg.2011.07.035. Epub 2011 Oct 1.
4
Clinical features of congenital portosystemic shunt in children.儿童先天性门体分流的临床特征。
Eur J Pediatr. 2012 Feb;171(2):395-400. doi: 10.1007/s00431-011-1564-9. Epub 2011 Sep 13.
5
Congenital intrahepatic portosystemic shunt: prenatal diagnosis and possible influence on fetal growth.先天性肝内门体分流：产前诊断及其对胎儿生长的可能影响。
Ultrasound Obstet Gynecol. 2008 Aug;32(2):233-5. doi: 10.1002/uog.6116.
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Cardiac anomalies in the setting of the Abernethy malformation of the portal vein.
Cardiol Young. 2007 Apr;17(2):212-4. doi: 10.1017/S1047951106001375. Epub 2006 Dec 22.
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Value of carbon dioxide wedged venography and transvenous liver biopsy in the definitive diagnosis of Abernethy malformation.二氧化碳楔形静脉造影和经静脉肝活检在确诊阿伯内西畸形中的价值。
Abdom Imaging. 2006 May-Jun;31(3):315-9. doi: 10.1007/s00261-005-0151-9. Epub 2006 Jan 30.
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Congenital extrahepatic portosystemic shunts.先天性肝外门体分流
Pediatr Radiol. 2003 Sep;33(9):614-20. doi: 10.1007/s00247-003-1002-x. Epub 2003 Jul 23.
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Elevated plasma bile acids in hypergalactosaemic neonates: a diagnostic clue to portosystemic shunts.
Eur J Pediatr. 1997 Sep;156(9):716-8. doi: 10.1007/s004310050697.
10
Congenital extrahepatic portocaval shunts--the Abernethy malformation.先天性肝外门腔分流术——阿伯内西畸形
J Pediatr Surg. 1997 Mar;32(3):494-7. doi: 10.1016/s0022-3468(97)90614-x.