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在刀伤25天后发现无症状的肝瘤:一个病例报告
Tomoyuki Sugi1,2, Tsunehiko Maruyama3,4, Reiji Nozaki3
1Department of Surgery, Mito Saiseikai General Hospital, 3-3-10 Futabadai, Mito, Ibaraki, 311-4198, Japan. tomoyuki.sugi5656@gmail.com.
Surgical case reports
|June 27, 2023
概括
肝脏伪动脉瘤 (HPA) 可以在肝脏创伤后晚期发展,甚至在受伤后的几周内. 常规监测对于早期发现和治疗这些可能危及生命的疾病至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 肝脏伪动脉瘤 (HPA) 是肝脏创伤后的一种罕见但高风险的并发症.
- HPA往往是无症状的,直到破裂,需要对创伤患者进行警监测.
- 创伤后的HPA通常在第一周内表现出来,这表明监视成像大约在受伤后7天.
研究的目的:
- 在透肝脏创伤后报告延迟肝脏伪动脉瘤发育的病例.
- 强调肝损伤患者延长监测的重要性.
主要方法:
- 一名47岁的男性患有刀造成的腹部损伤,经过手术切除了刀.
- 术后第12天的初始术后计算机断层扫描 (CT) 显示没有HPA.
- 在术后第25天的随访CT显示出正在发展的HPA,该HPA已通过线圈栓塞成功治疗.
主要成果:
- 在透肝创伤25天后诊断出肝脏伪动脉瘤.
- 患者一直没有症状,直到诊断.
- 通过线圈栓塞成功治疗,在一年的随访中没有并发症.
结论:
- 肝脏伪动脉瘤可能比经过透肝脏创伤后通常观察到的晚些时候发展.
- 计算机断层扫描监测可能需要延伸到伤害后的早期时期之外.
- 及时诊断和内血管管理对于治疗延迟HPAs是有效的.
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