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小毛细管-淋巴-静脉形与大规模的内伤性出血:一个病例报告
Haruka Ogata1, Shun Goto1, Daiya Morita1
1Department of Diagnostic Radiology and Nuclear Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, Japan.
Radiology case reports
|February 5, 2026
概括
一种罕见的较小omental囊性毛细血管-淋巴-静脉形 (CLVM) 呈现出出血,复杂的诊断. 根据2018年ISSVA指南进行重新分类对于理解这种血管异常至关重要.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 小门囊性毛细血管-淋巴-静脉形 (CLVM) 是一种不常见的良性腹内血管异常.
- 内脉出血可以显著改变CLVM的成像特征,使手术前诊断复杂化.
研究的目的:
- 报告一个较小的标志性CLVM病例与内损伤出血.
- 为了突出 CLVM 中出血所带来的诊断挑战.
- 讨论2018年国际血管异常研究协会 (ISSVA) 分类的重要性.
主要方法:
- 一个50岁的女性的病例报告,她患有腹上疼痛.
- 腹部计算机断层扫描 (CT) 用于成像.
- 进行手术切除和组织病理学分析以确定确诊.
- 对类似案件的文献综述.
主要成果:
- 患者最初被诊断为腹部囊性淋巴瘤,但他的病理学证实了CLVM.
- 扫描图显示了大规模的内创伤出血.
- 手术前的成像无法识别除了淋巴元素之外的血管组成部分.
- 出血是由于损伤内的血管结构造成的.
结论:
- 在CLVM中的出血可以模仿其他疾病并使诊断复杂化.
- 使用2018年ISSVA标准对之前报告的"出血性淋巴瘤"进行重新分类,可能会揭示潜在的联合血管形.
- 准确的病理分类对于理解和管理CLVM至关重要.
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