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題 名 | Hemoperitoneum Secondary to Biopsy of the Hepatic Angiosarcoma=腹膜積血:因肝臟切片引起的出血 |
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作 者 | 蔡建中; 謝志芳; 韓淑珍; 牟聯瑞; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 24:1 1999.02[民88.02] |
頁 次 | 頁37-40 |
分類號 | 415.536 |
關鍵詞 | 肝腫瘤; 血管肉瘤; 介入性處置; 合併症; Liver neoplasms; Angiosarcoma; Interventional procedure; Complications; |
語 文 | 英文(English) |
中文摘要 | 肝的血管肉瘤是很罕見的惡性腫瘤,癒後很差。一個30歲男性病患因為腹部腫漲,而轉介到本院。超音波和電腦斷層檢查都同意病患有肝腫瘤,經由經皮穿肝細針切片的病理檢查證實為肝血管肉瘤。切片後的追蹤電腦斷層檢查顯示有一個雜亂的低密度的腫塊,取代了整個左部肝臟而且侵犯到尾葉。不正常的腹膜液體導致前腹壁突出。選擇性的左肝動脈血管攝影顯示有活躍性的出血點。當時就經由動脈使用止血棉做了栓塞,栓塞後的血管攝影顯示已經將出血管阻住。此病例被報告的目的,乃是為了強調經皮細針穿刺對於肝血管肉瘤是一可能危及生命的步驟。 |
英文摘要 | Hepatic angiosarcoma is a raremalignant tumor with poor patientprognosis. A 30-year-old malepatient was referred to our hospitalbecause of abdominal distentionand fullness. The sonography andcomputed tomograpy (CT) scanfindings were compatible withhepatic tumor, and was confirmedpathologically as hepaticangiosarcoma using percutaneoustranshepatic needle biopsy. Post-biopsy CT scan showed a diffusedheterogenous low-attenuated masswhich replaced the entire liverparenchyma on the left side andinvaded the caudate lobe.Abnormal peritoneal fluidretention with bulging of theanterior abdominal wall was alsoseen. Selective left hepaticarteriogram revealed an activebleeding point and transarterialembolization was then performedusing gel-foam cubes. Post-embolization angiogram showedocclusion of the bleeding point.This case is reported to emphasizethat percutaneous needle biopsy isa life-threatening procedure inpatients with hepatic angiosarcoma. |
本系統中英文摘要資訊取自各篇刊載內容。