Ries M, Deeg K H
Klinik mit Poliklinik für Kinder und Jugendliche, Universität Erlangen-Nürnberg, Germany.
Acta Paediatr. 1994 Nov;83(11):1228-9. doi: 10.1111/j.1651-2227.1994.tb18292.x.
We report on a patient with atresia of the colon transversum and a large meconium pseudocyst adherent to the liver. Sonography additionally revealed multiple cystic structures due to intrahepatic meconium masses. Surgical evacuation of the meconium pseudocyst resulted in massive diffuse hemorrhage from the liver which could not be stopped. The child died intraoperatively due to hemorrhagic shock. Histologically the intrahepatic meconium masses were surrounded by various degrees of necrosis and hemorrhage without a well-defined capsule of fibrous granulation tissue.
我们报告了一名患有横结肠闭锁且有一个附着于肝脏的巨大胎粪假性囊肿的患者。超声检查还发现由于肝内胎粪团块导致的多个囊性结构。手术排空胎粪假性囊肿后，肝脏出现大量弥漫性出血，无法止血。患儿因失血性休克在手术中死亡。组织学检查显示，肝内胎粪团块被不同程度的坏死和出血所包围，没有明确的纤维肉芽组织包膜。
