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腹部放射学经典:跳跃鹿征。

Classics in abdominal radiology: the jumping deer sign.

作者信息

Elliott Samantha, Taros Trent, Lustig Adam

机构信息

Eastern Virginia Medical School, Norfolk, USA.

出版信息

Abdom Radiol (NY). 2025 May;50(5):2336-2338. doi: 10.1007/s00261-024-04699-6. Epub 2024 Nov 22.

DOI:10.1007/s00261-024-04699-6
PMID:39576316
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11991963/
Abstract

The "jumping deer sign" is an ultrasonographic pattern that aids in identifying normal liver anatomy and distinguishing it from pathology. It includes the portal vein (deer's head and body), the gallbladder or cystic duct (tail), and the inferior vena cava (obstacle). This sign helps differentiate portal veins from intrahepatic ducts, crucial for diagnosing conditions like portal hypertension. It also assists in identifying gallbladder pathologies and assessing the IVC for hydration status. The jumping deer sign provides a clear reference for clinicians, improving diagnostic accuracy, especially for those with limited ultrasound experience.

摘要

“跳跃的鹿征”是一种超声图像模式,有助于识别正常肝脏解剖结构并将其与病变区分开来。它包括门静脉(鹿的头部和身体)、胆囊或胆囊管(尾巴)以及下腔静脉(障碍物)。该征象有助于区分门静脉与肝内胆管,这对于诊断门静脉高压等病症至关重要。它还有助于识别胆囊病变并评估下腔静脉的水化状态。跳跃的鹿征为临床医生提供了清晰的参考,提高了诊断准确性,尤其是对于超声经验有限的医生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2df5/11991963/6dacadb670c4/261_2024_4699_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2df5/11991963/66b23a590533/261_2024_4699_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2df5/11991963/6dacadb670c4/261_2024_4699_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2df5/11991963/66b23a590533/261_2024_4699_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2df5/11991963/6dacadb670c4/261_2024_4699_Fig2_HTML.jpg

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本文引用的文献

1
Integrative Volume Status Assessment.综合容量状态评估
POCUS J. 2022 Feb 1;7(Kidney):65-77. doi: 10.24908/pocus.v7iKidney.15023. eCollection 2022.
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Evaluating Patients with Right Upper Quadrant Pain.
Radiol Clin North Am. 2015 Nov;53(6):1093-130. doi: 10.1016/j.rcl.2015.06.002. Epub 2015 Aug 12.
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Acute emphysematous cholecystitis. Report of twenty cases.急性气肿性胆囊炎。20例报告。
Hepatogastroenterology. 1999 Jul-Aug;46(28):2144-8.
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Ultrasonographic identification of dilated intrahepatic bile ducts and their differentiation from portal venous structures.超声检查对肝内胆管扩张的识别及其与门静脉结构的鉴别
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