关键词: congenital portosystemic shunt hepatic nodule shunt embolization shunt occlusion

Mesh : Humans Female Adult Embolization, Therapeutic Liver Neoplasms / diagnostic imaging pathology diagnosis Tomography, X-Ray Computed Portal Vein / abnormalities diagnostic imaging

来  源:   DOI:10.2169/internalmedicine.2267-23   PDF(Pubmed)

Abstract:
A 38-year-old woman was admitted to our university hospital with loss of muscle strength. She was diagnosed with dermatomyositis and underwent contrast-enhanced computed tomography of the entire body to check for malignant tumors. Computed tomography revealed multiple enhanced hepatic nodules and an extrahepatic portosystemic shunt. Although a needle biopsy of the nodule could not diagnose definitive hepatocellular carcinoma, some nodules increased in size after three months. Because of the inconclusive results of the second biopsy, we performed shunt embolization using a vascular plug. After another three months, the hepatic nodules shrank markedly, as expected.
摘要:
一名38岁的妇女因肌肉力量丧失而被我们大学医院收治。她被诊断为皮肌炎,并对整个身体进行了对比增强计算机断层扫描,以检查恶性肿瘤。计算机断层扫描显示多个增强的肝结节和肝外门体分流。尽管结节的穿刺活检不能诊断明确的肝细胞癌,三个月后,一些结节的大小增加。由于第二次活检的结果不确定,我们用血管塞进行了分流栓塞.又过了三个月,肝结节明显缩小,如预期。
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