肝内门-肝静脉瘘1例报告

蒋岚; 许春芳

doi:10.3969/j.issn.1001-5256.2019.01.035

肝内门-肝静脉瘘1例报告

DOI: 10.3969/j.issn.1001-5256.2019.01.035

蒋岚,
许春芳

苏州大学附属第一医院消化内科

详细信息

中图分类号: R575
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出版历程
- 出版日期: 2019-01-20

Intrahepatic portal-hepatic venous fistula: A case report

Department of Gastroenterology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215000, China

摘要

摘要:
<正>1病例资料患者男性,75岁,因"意识障碍伴皮肤黄染1个月,加重2d"入本院,患者1个月前无明显诱因下出现意识错乱,言语重复,呼之不应,可自行苏醒,夜间明显,伴有皮肤黄染,巩膜为著,2 d前再发意识错乱,言语重复伴有呕吐,为胃内容物,此次不能自行好转苏醒,遂至本科就诊。既往:1996年因"风湿性心脏病"于上海某医院行二尖瓣、主动脉瓣置换术,5年前因胆囊结石行胆囊切除术。否认"高血压、糖尿病、肾病"等慢性病史,否认"肝炎、结核"等传染病史,否认输血史,否认食物、药物过敏史。否认烟酒嗜好。查体:生命体征平稳,神志昏睡,有扑翼
- 肝疾病 /
- 消化系统瘘 /
- 肝性脑病 /
- 病例报告
- liver diseases /
- digestive system fistula /
- hepatic encephalopathy /
- case reports

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参考文献(10)

[1]KIM ES, JEON SW, PARK SY, et al.Where has the tumor gone?The characteristics of cases of negative pathologic diagnosis after endoscopic mucosal resection[J].Endoscopy, 2009, 41 (9) :739-745.

[2]YANG Y, GUO WH.Research advances in diagosis and treatment of hepatocellular carcinoma complicated by arterioportal shunt[J].J Clin Hepatol, 2017, 33 (3) :364-368. (in Chinese) 杨洋, 郭武华.肝细胞癌合并动-门静脉瘘的诊治进展[J].临床肝胆病杂志, 2017, 33 (2) :364-368.

[3]GOLLI M, KRIAA S, SAID M, et al.Intrahepatic spontaneous portosystemic venous shunt:Value of color and power Doppler sonography[J].J Clin Ultrasound, 2000, 28 (1) :47-50.

[4]COSME JA, POCH ZM, ORCOLAGA AR, et al.Congenital intrahepatic venous shunt as a cause of hepatic encephalopathy[J].Gastroenterol Hepatol, 1995, 18 (9) :460-463.

[5]SHETH N, SABBAH N, CONTRACTOR S.Spontaneous intrahepatic portal venous shunt:Presentation and endovascular treatment[J].Vasc Endovascular Surg, 2016, 50 (5) :349-353.

[6]PARK JH, CHA SH, HAN JK, et al.Intrahepatic portosystemic venous shunt[J].AJR Am J Roentgenol, 1990, 155 (3) :527-528.

[7]LAUTZ TB, TANTEMSAPYA N, ROELL E, et al.Management and classification of type II congenital portosystemic shunts[J].J Pediatr Surg, 2011, 46 (2) :308-314.

[8]FRANCHI-ABELLA S, BRANCHEREAU S, LAMBERT V, et al.Complications of congenital portosystemic shunts in children:Therapeutic options and outcomes[J].J Pediatr Gastroenterol Nutr, 2010, 51 (3) :322-330.

[9]KIM MJ, KO JS, SEO JK, et al.Clinical features of congenital portosystemic shunt in children[J].Eur J Pediatr, 2012, 171 (2) :395-400.

[10]GRIMALDI C, MONTI L, FALAPPA P, et al.Congenital intrahepatic portohepatic shunt managed by interventional radiologic occlusion:A case report and literature review[J].J Pediatr Surg, 2012, 47 (2) :e27-e31.

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