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一位患有肝腺瘤破裂的年轻患者的左侧部分肝切除术:一个病例报告
Marcos Alberto Pagani Junior1, Letícia Siman Lopes1, Francisco Antonio Sergi Filho2
1Department of Gastroenterology, University of Marília, Marilia 17525-160, São Paulo, Brazil.
World journal of clinical cases
|January 29, 2026
概括
在使用口服避孕药的年轻女性中,肝腺瘤 (HA) 自发破裂是罕见的. 及时诊断和手术干预对于管理急性出血和确保良好的康复至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 手术瘤学手术瘤学
- 妇科 妇科医生 妇科
背景情况:
- 肝腺瘤 (HA) 是一种罕见的肝瘤,占所有肝脏瘤的<0.04%.
- 发生在年轻女性中很少,但与口服避孕药的使用 (20-40岁年龄组) 密切相关.
- 估计每年的发病率为每10万人口中3-4例.
研究的目的:
- 报告一个年轻女子发生自发性肝腺瘤破裂的病例.
- 突出及时诊断和手术管理在血液动力学损害的情况下的重要性.
主要方法:
- 一个30岁的女性在服用联合口服避孕药时出现急性腹部出血的病例报告.
- 最初的治疗涉及选择性肝动脉栓塞.
- 由于持续的出血,急需进行左侧部分肝切除术.
主要成果:
- 患者在体力炼后出现了肝腺瘤自发破裂和腹内出血.
- 肝动脉栓塞最初是使用的.
- 成功完成左侧部分肝切除术,没有任何不良事件.
- 手术后的康复情况良好.
结论:
- 自发性肝腺瘤破裂可能成为急性手术紧急情况.
- 及时诊断和立即的手术干预对于管理血液动力学损害至关重要.
- 有效的管理带来了有利的患者结果.
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