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气肿性肝炎:一例病例报告及文献综述

Emphysematous hepatitis: A case report and review of literature.

作者信息

Ayoub Chetoui, Oula Alouazen, Nabila Elouafi, Asmae Oulad Amar, Siham Alaoui Rachidi

机构信息

Radiology Department, Mohammed VI University Hospital, Tangier, Morroco.

Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaadi University, Tangier, Morroco.

出版信息

Radiol Case Rep. 2024 Sep 30;19(12):6629-6632. doi: 10.1016/j.radcr.2024.09.059. eCollection 2024 Dec.

Abstract

Emphysematous hepatitis (EH) is a recently described gas forming liver infection, often associated with diabetes mellitus. It is often associated with poor prognosis, with rapidly fatal course in most reported cases. Its diagnosis is based on CT findings when an extensive gas replacing the liver parenchyma is present. We report the case of a 77-year-old woman with history of diabetes mellitus who presented in the emergency department with acute onset of cutaneomucous jaundice and fever, and in whom an abdominopelvic CT scan showed findings consistent with emphysematous hepatitis. EH is a rare condition with high mortality rate, however early diagnosis can be crucial in order to decrease mortality.

摘要

气肿性肝炎(EH)是一种最近才被描述的产气性肝脏感染,常与糖尿病相关。它通常预后较差,在大多数报道的病例中病程进展迅速且致命。其诊断基于CT表现,即肝脏实质出现广泛气体替代。我们报告一例77岁患有糖尿病的女性患者,她因皮肤黏膜黄疸和发热急性发作而到急诊科就诊,腹部盆腔CT扫描显示的结果符合气肿性肝炎。气肿性肝炎是一种罕见且死亡率高的疾病,然而早期诊断对于降低死亡率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6198/11472012/ac5679e34305/gr1.jpg

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