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肝脏炎性假瘤的诊断与治疗7例报告 被引量:1
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作者 邱云峰 许世吾 +2 位作者 廖之伟 田发林 杨维良 《中国普通外科杂志》 CAS CSCD 2004年第3期237-238,共2页
报告 7例肝脏炎性假瘤的诊断和治疗。其中误诊 6例 ,仅 1例经肝穿刺确诊 ;手术治疗 6例 ,行左外叶切除 1例 ,右肝第V段切除 1例 ,局部切除 4例 ;非手术治疗 1例 ,均治愈。随访 1~ 1 3年 ,无复发。提示该病少见 ,病因尚不清楚 ,诊断需... 报告 7例肝脏炎性假瘤的诊断和治疗。其中误诊 6例 ,仅 1例经肝穿刺确诊 ;手术治疗 6例 ,行左外叶切除 1例 ,右肝第V段切除 1例 ,局部切除 4例 ;非手术治疗 1例 ,均治愈。随访 1~ 1 3年 ,无复发。提示该病少见 ,病因尚不清楚 ,诊断需依靠肝穿刺活检或术中术后病理检查。治疗应以手术治疗为主 ,如术前已经病理确诊 ,可行非手术治疗。 展开更多
关键词 肝炎瘤/诊断 肝炎性假瘤/治疗 误诊
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Potentially fatal haemobilia due to inappropriate use of an expanding biliary stent 被引量:9
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作者 Rakesh Rai John Rose Derek Manas 《World Journal of Gastroenterology》 SCIE CAS CSCD 2003年第10期2377-2378,共2页
AIM: To highlight the fatal complication caused by expanding biliary stents and the importance of avoiding use of expanding stent in potentially curable diseases.METHODS: Arteriobiliary fistula is an uncommon cause of... AIM: To highlight the fatal complication caused by expanding biliary stents and the importance of avoiding use of expanding stent in potentially curable diseases.METHODS: Arteriobiliary fistula is an uncommon cause of haemobilia. We describe a case of right hepatic artery pseudoaneurysm causing arteriobiliary fistula and presenting as severe malena and cholangitis, in a patient with a mesh metal biliary stent. The patient had lymphoma causing bile duct obstruction.RESULTS: Gastroduodenoscopy failed to establish the exact source of bleeding and hepatic artery angiography and selective embolisation of the pseudo aneurysm successfully controlled the bleeding.CONCLUSION: Bleeding from the pseudo aneurysm of the hepatic artery can be fatal. Mesh metal stents in biliary tree can cause this complication as demonstrated in this case.So mesh metal stent insertion should be avoided in potentially benign or in curable conditions. Difficulty in diagnosis and management is discussed along with the review of the literature. 展开更多
关键词 Aneurysm False Biliary Fistula Female HEMOBILIA HEMORRHAGE Humans Middle Aged STENTS
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