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多部位肝:内镜超声波引导肝脏活检的一个并发症

Tia D Andrade^1,2, Mohanad Awadalla^2,3, Sultan Mahmood^2,3

¹Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.

ACG case reports journal

|March 12, 2024

概括

用内镜超声波 (EUS) 引导的肝脏活检为自身免疫性肝炎管理提供了精确的采样. 然而,存在罕见的肝风险,特别是在免疫功能低下的患者中.

科学领域:

胃肠病学和肝病学
干预性内镜检查是干预性的内镜检查.

背景情况:

用内镜超声波 (EUS) 引导的肝脏活检越来越多地用于肝脏副细胞采样.
它提供了诸如详细可视化,精确采样和与其他内镜程序集成等优势.

研究的目的:

介绍一个复杂,免疫受损患者EUS导向肝活检的案例研究.
突出EUS导向活检在治疗自身免疫性肝炎中的有用性.
讨论与手术相关的潜在并发症.

主要方法:

在一个解剖学上复杂,免疫功能低下的患者身上进行了EUS引导肝脏活检.
活检对于诊断和管理自身免疫性肝炎至关重要.
监测患者的临床过程和结果.

主要成果:

获得了足够的肝活检样本,有助于治疗自身免疫性肝炎.
患者在手术后出现了多部位肝.
这一案例强调了在EUS引导肝脏活检后罕见但可能的感染风险.

结论:

以EUS指导的肝脏活检对肝脏采样是有效的,即使在复杂的情况下.
虽然通常是安全的,但应该考虑感染的风险,包括肝.
免疫功能低下的患者和胆道阻塞患者可能面临更高的感染并发症风险.

关键词:

内镜式超声波检查结果肝脏的发生肝脏肝脏活检活检肝脏活检

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