■肝血管瘤(HH)是一种先天性血管畸形,似乎是最可能的良性肝肿瘤,由大量的血管组成,排列和大小异常。在大多数情况下,HH无症状,患者预后良好。根据研究,肿块的位置和大小与症状和并发症相关。文献中关于HH自发破裂的报道较少。在这种紧急情况下,动态增强CT扫描,尤其是延迟成像的三相计算机断层扫描(CT),是首选。
■这里,我们介绍了两名中年女性自发性HH破裂患者。在增强CT和急诊手术的准确诊断后,病人恢复良好,出院。
■适当的影像学研究,尤其是增强CT,对于自发性HH破裂患者,急诊手术是必不可少的。作为一名外科医生,我们需要注意无症状的HH患者。
UNASSIGNED: Hepatic hemangioma (HH) is a congenital vasal malformation that seemed like the most probable benign liver neoplasm, composed of masses of blood vessels, which are anomalous in arrangement and size. In most cases, HH is asymptomatic, and patients have an excellent prognosis. According to research, the location and size of the mass are correlated with the symptoms and complications. Reports of spontaneous rupture of HH have been less reported in the literature. In this emergency condition, dynamic contrast-enhanced CT scanning, especially triple-phase computed tomography (CT) with delayed imaging, is preferred.
UNASSIGNED: Here, we presented two middle-aged female patients with spontaneous rupture of HH in our hospital. Following an accurate diagnosis of enhanced CT and emergency surgery, patients recovered well and were discharged from the hospital.
UNASSIGNED: Appropriate imaging studies, especially enhanced CT, and emergency surgery are indispensable for patients with spontaneous rupture of HH. As a surgeon, we need to pay attention to the asymptomatic patient with HH.