大规模的脏囊取代了腹内结构
Khalid M G Mohammed1, Ayaa Zarm2,3, Juan Carlos Q Velez2,3
1School of Medicine, Tanta University, Tanta, Egypt.
Ochsner journal
|September 15, 2023
概括
大规模的囊很少见,通常无症状. 这一案例突出显示了对有症状的大型囊的有限的非侵入性选择,建议对拒绝手术的患者进行监测和疼痛管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 放射学 放射学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 简单的囊是常见的,通常无症状,偶尔发现.
- 大规模的囊是非常罕见的临床发现.
研究的目的:
- 报告一个罕见的巨型简单囊病例.
- 讨论大规模囊的诊断和管理挑战.
- 探索症状大规模囊的非侵入性治疗选择.
主要方法:
- 一个77岁的女性患有慢性病的病例报告.
- 临床表现包括高血症,腹部膨胀和侧侧疼痛.
- 通过计算机断层扫描 (CT) 证实了诊断,显示出一个大的右囊 (22 × 11 × 17.5厘米).
主要成果:
- 巨大的脏囊取代了腹内结构.
- 患者经历了功能显著恶化 (血清肌素增加).
- 患者拒绝了手术,选择了保守的治疗方法.
结论:
- 对有症状的大型简单囊的非侵入性治疗是有限的.
- 保守的管理,包括疼痛控制和定期监测,可能适合拒绝侵入性手术的患者.
- 这一案例凸显了考虑在某些患有大规模囊的患者中采取保守方法的重要性.
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