全臟器反位合并肝臟泡狀及囊狀棘球蚴病1例
發(fā)布時間:2018-03-14 23:24
本文選題:全臟器反轉(zhuǎn) 切入點:肝臟泡狀棘球蚴 出處:《中國醫(yī)學(xué)影像學(xué)雜志》2015年11期 論文類型:期刊論文
【摘要】:正1病例簡介女,50歲,藏族。主訴:間斷左側(cè)上腹部疼痛1年。于當(dāng)?shù)蒯t(yī)院診斷為脾臟包蟲。體格檢查:左上腹壓痛。實驗室檢查:包蟲血清凝集試驗陽性。心電圖提示竇性心律,心臟順鐘向軸位轉(zhuǎn)位。心臟超聲:右位心。CT圖像見圖1A~D,CT檢查提示:全臟器反位合并肝臟囊狀及泡狀棘球蚴病。術(shù)中見腹腔臟器完全反位,肝臟位于左側(cè),肝右葉大部分被泡狀棘球蚴所占據(jù),位于肝表面部分與膈肌分界不清,病灶與
[Abstract]:Case profile: female: 50 years old, Tibetan. Chief complaint: left left epigastric pain for 1 year. Diagnosis of splenic hydatid in local hospital. Physical examination: left epigastric tenderness. Laboratory examination: hydatid seroagglutination test positive. ECG indicates sinus rhythm. Translocation of heart clockwise to axial position. Echocardiography: right heart. Ct image is shown in fig. 1. The total visceral inversion combined with hepatic cyst and alveolar echinococcosis. Intraoperative abdominal viscera were completely reversed and the liver was located on the left. Most of the right lobe of the liver is occupied by hydatid alveolar, and is located on the surface of the liver which is indistinct from the diaphragm.
【作者單位】: 青海大學(xué)附屬醫(yī)院影像中心;
【分類號】:R532.32;R445.1;R816.5
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