从肝脏到肺部:双胸骨的病理旅程
Momina Abid1, Mohammad T Hussain2, Sofia Barlas3
1Medicine, University Medical and Dental College, Faisalabad, PAK.
Cureus
|February 2, 2026
概括
本病例报告详细介绍了一例罕见的右侧双胸病例,该病例发生在患有晚期肝硬化和癌症的患者身上. 这种情况,腔中的胆汁,提出了诊断和管理的挑战.
科学领域:
- 医学 医学 医学 医学 医学
- 病理学 病理学 病理学
- 胃肠病学 胃肠病学
背景情况:
- 双胸,胆汁积累在腔,是罕见的,通常是右侧由于肝脏的接近.
- 双侧或左侧双胸非常罕见.
- 诊断包括肺部液体分析 (肺部与血清胆红素比>1) 和成像.
研究的目的:
- 报告一个罕见的右侧双胸病例,患者患有多种并发病症.
- 以突出诊断复杂性和管理挑战在这种情况下.
主要方法:
- 一名60多岁的男性患者的病例报告,患有C型肝炎相关的肝硬化,肝细胞癌和并发症.
- 患者出现了症状,发生了胆囊穿孔,胆道周周炎,随后是右侧双胸.
- 通过胸腔切除证实了诊断,并显示出高腹与血清胆红素的比率 (3.4).
主要成果:
- 患者在胆囊穿孔和胆道周周炎后出现了右侧双胸部.
- 肠杆菌被从肺液中分离出来,用抗生素治疗和胸管排水.
- 尽管进行了干预,但患者经历了逐渐的肝脏衰减,败血症和呼吸衰竭.
结论:
- 这一案例凸显了双胸骨的极度罕见性.
- 在诊断区分双胸腺与其他多流的诊断挑战是显著的.
- 在晚期肝硬化和恶性瘤患者中,管理是复杂的,往往导致不良结果.
相关概念视频
Lung Capacity
56.3K
The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
56.3K
Liver Histology
4.4K
The microscopic anatomy of the liver is a complex and intricate system that comprises numerous structural units known as liver lobules, each of which is comparable in size to a sesame seed. These hexagonal structures consist of plates of liver cells or hepatocytes, which are characterized by their versatility and abundance of cellular apparatus like rough and smooth ER, Golgi apparatus, peroxisomes, and mitochondria.
Hepatocytes perform a variety of essential functions. They secrete...
Hepatocytes perform a variety of essential functions. They secrete...
4.4K
Liver Physiology
3.8K
The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
3.8K
Liver Regeneration
4.3K
The liver is an important organ in vertebrates that plays an essential role in metabolism. It is also responsible for storing and redistributing nutrients such as carbohydrates, fats, and vitamins in the body. Additionally, the liver releases bile salts which are critical for digesting food and eliminating toxic metabolites from the body.
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are...
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are...
4.3K
Gross Anatomy of the Liver
2.1K
The liver, the largest gland within the human body, is a firm and reddish-brown organ. This wedge-shaped structure weighs approximately 1.5 kg and occupies a significant portion of the right hypochondriac and epigastric regions. It extends more to the right of the body's midline than to the left.
Located under the diaphragm, the liver is almost entirely ensconced within the rib cage, providing it with substantial protection. Except for the superior most bare area, the liver's surface is...
Located under the diaphragm, the liver is almost entirely ensconced within the rib cage, providing it with substantial protection. Except for the superior most bare area, the liver's surface is...
2.1K
Pleura of the Lungs
7.3K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
7.3K


