巨大先天性肝囊肿的管理

Rashed A, May R E, Williamson R C

Postgrad Med J. 1982 Sep;58(683):536-41. doi: 10.1136/pgmj.58.683.536.

Congenital solitary cysts of the liver seldom exceed 10 cm in diameter. Four such cases were seen over a 5-year period in a city with a catchment population of about 800,000. One of these cysts was asymptomatic, but the others were complicated by intracystic haemorrhage, probable perforation and cyst-enteric fistula. Pre-operative liver scans and findings at laparotomy indicated a different treatment in each case—observation, aspiration, enucleation and drainage.

先天性肝孤立囊肿直径很少超过10厘米。在一个拥有约80万服务人口的城市中，5年期间共发现4例这种病例。其中1例囊肿无症状，但其他几例分别并发囊内出血、可能的穿孔及囊肿-肠瘘。术前肝脏扫描及剖腹术所见表明，每例病例的治疗方式不同——观察、抽吸、摘除及引流。