查詢結果分析
來源資料
相關文獻
- Symptomless Cyst Formation at the Location of a Biloma Resolved with a Single Aspiration: Case Report
- 妊娠併發卵巢惡性腫瘤暨先前腫瘤囊腫經皮穿刺抽吸之結果與預後--病例報告
- 腹腔鏡輔助卵巢囊腫的穿刺抽吸合併乙醇注入術
- Ultrasound-Guided Transvaginal Cyst Aspiration for the Management of Pelvic Pseudocyst: A Preliminary Experience
- Ultrasound-Guided Aspiration with Sclerosing Therapy in Ovarian Cyst
- Clinical Application of Ultrasound-Guided Renal Cyst Aspiration
- Diagnosis and Treatment of an Infective Bronchogenic Cyst Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration: A Case Report
- Symptomatic Prostatic Cyst: A Case Report
- 腹膜包涵性囊腫
- 內視鏡超音波在胰臟疾病診斷的應用
頁籤選單縮合
題 名 | Symptomless Cyst Formation at the Location of a Biloma Resolved with a Single Aspiration: Case Report=經單一抽吸後消散之膽汁瘤處形成無症狀性囊腫:病例報告 |
---|---|
作 者 | 張明鈴; 林灯寅; | 書刊名 | 長庚醫學 |
卷 期 | 23:12 2000.12[民89.12] |
頁 次 | 頁794-798 |
分類號 | 416.247 |
關鍵詞 | 膽汁瘤; 囊腫; 抽吸; Biloma; Cyst; Aspiration; |
語 文 | 英文(English) |
中文摘要 | 在膽道外包膜化的膽汁堆積,無論是肝內或肝外,稱之為膽汁瘤。其形成原因可分為醫原性、外傷性及自發性三種。可以臨床病史,影像學檢查及針抽吸內容物來確立診斷。在影像學上,膽汁瘤多以一個簡單,或有分隔、或有內容物的囊腫來呈現。若不治療,則可能造成嚴重後遺症甚至死亡。以過去的文獻而言,其治療的主流在於膽道分流及/或膽汁引流以達到去除膽汁及影像學上囊腫的完全消失。一位58歲的女性因肝癌接受楔形切除術而產生了一個在右肝腎之間的囊腫,並導致了腹痛及發燒。單一次的膽汁抽吸確定了膽汁瘤的診斷並解除了她的症狀。膽汁瘤在抽吸之後立即消失。半年之後,原來膽汁瘤存在之處出現了復發性囊腫,其內容物在抽吸之後証實為清澈漏液。雖然這個囊腫未進一步處理且持續存在,病人之後並無任何症狀。 若膽汁瘤與膽道不相通,且近端膽道無狹窄及結石的存在,經皮膽汁抽吸術應當可為膽汁瘤的適當處理。 |
英文摘要 | A biloma is an encapsulated bile collection outside the biliary tree. The underlying causes include iatrogenic, traumatic, and spontaneous injury of the biliary tree. Its diagnosis is based upon clinical history, imaging studies, and needle aspiration with chemical analysis of the fluid. Biloma usually presents as a simple or septated cyst or a cyst with internal contents. The symptomatic biloma if left untreated may result in significant morbidity and even mortality. In past reports, the mainstay of management relied on bile flow diversion and/or bile drainage to achieve elimination of bile as well as complete resolution of the cyst. We report on a 58-year-old woman with a 9.0×5.4 cm cyst between the right liver and the upper pole of the kidney after wedge resection for a hepatoma in the right lobe. She suffered form abdominal pain and fever. A single percutaneous needle aspiration with chemical analysis confirmed the diagnosis of biloma and relieved her symptoms. The biloma vanished immediatedly. However. A recurrent symptomless cyst was detected at the same site 6 months later. Its content was proven to be clear transudate, and it was left untreated. If a biloma has no communication with the biliary tree, and the proximal biliary tree has neither stricture nor stones, percutaneous aspiration alone may achieve resolution. |
本系統中英文摘要資訊取自各篇刊載內容。