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被误诊为肝上皮样血管内皮瘤的肝内子宫内膜异位症

Hepatic Endometriosis Misdiagnosed as Hepatic Epithelioid Hemangioendothelioma.

作者信息

Kler Aditya, Dutta Nirjhar, Haglund Jennifer

机构信息

Division of Hospital Medicine, Department of Medicine, University of Maryland, Baltimore, Maryland, USA.

Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.

出版信息

Case Reports Hepatol. 2025 Aug 15;2025:3676537. doi: 10.1155/crhe/3676537. eCollection 2025.

DOI:10.1155/crhe/3676537
PMID:40860165
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12373462/
Abstract

We describe the case of a young 42-year-old female who suffered from cyclical right upper quadrant abdominal pain that led to an emergency department visit where an intrahepatic mass was found on imaging. Initial CT-guided biopsy led to the diagnosis of hepatic epithelioid hemangioendothelioma, and the patient was referred to a liver transplant center. She underwent hepatic segmentectomy with right nephrectomy and surgical pathology came to the correct diagnosis of hepatic endometriosis.

摘要

我们描述了一名42岁年轻女性的病例，她患有周期性右上腹腹痛，因此前往急诊科就诊，影像学检查发现肝内有一个肿块。最初的CT引导下活检诊断为肝上皮样血管内皮瘤，该患者被转诊至肝移植中心。她接受了肝段切除术和右肾切除术，手术病理最终正确诊断为肝子宫内膜异位症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/12373462/9110c195b21d/CRIHEP2025-3676537.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/12373462/55ff88eb78f5/CRIHEP2025-3676537.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/12373462/e77ac0790fea/CRIHEP2025-3676537.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/12373462/9110c195b21d/CRIHEP2025-3676537.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/12373462/55ff88eb78f5/CRIHEP2025-3676537.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/12373462/e77ac0790fea/CRIHEP2025-3676537.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/12373462/9110c195b21d/CRIHEP2025-3676537.003.jpg

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本文引用的文献

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ACG Clinical Guideline: Focal Liver Lesions.ACG 临床指南：局灶性肝脏病变。
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Endometriosis: A multimodal imaging review.子宫内膜异位症：一种多模态影像学综述。
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Specific Local Predictors That Reflect the Tropism of Endometriosis-A Multiple Immunohistochemistry Technique.反映子宫内膜异位症趋向性的特定局部预测因子——一种多重免疫组织化学技术。
Int J Mol Sci. 2022 May 17;23(10):5614. doi: 10.3390/ijms23105614.
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Endometriosis.子宫内膜异位症
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Liver Transplantation for Hepatic Epithelioid Hemangioendothelioma Is Facilitated by Exception Points With Acceptable Long-term Outcomes.肝上皮样血管内皮细胞瘤的肝移植：通过例外积分制可获得可接受的长期疗效。
Transplantation. 2020 Jun;104(6):1187-1192. doi: 10.1097/TP.0000000000002982.
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Rare Case of Hepatic Endometriosis as an Incidental Finding: Difficult Diagnosis of a Diagnostic Dilemma.罕见肝子宫内膜异位症病例：诊断困境中的艰难诊断。
Ann Hepatol. 2018 Aug 24;17(5):884-887. doi: 10.5604/01.3001.0012.3173.