超声造影、增强CT及MRI同时误诊肝血管平滑肌脂肪瘤1例

发布时间：2018-06-02 17:57

  本文选题：右锁骨中线 + CT　； 参考：《广东医学》2014年15期

【摘要】：正患者,男,39岁,无明显不适,因外院体检发现肝脏占位于2013年9月29日入院。体格检查:一般状况良好,全身皮肤、巩膜无黄染,肝脾肋下未触及,未触及肿大的浅表淋巴结。肝上界位于右锁骨中线第5肋间,下界于右锁骨中线肋下约5 mm,质中,无压痛叩痛。相关生化检查:肿瘤四项指标正常;直接胆红素10.26μmol/L,间接胆红素8.93μmol/L,谷草转氨酶139.48 U/L,谷丙转氨酶201.34 U/L;乙型肝炎六项示"小三阳"。影像学检查:外院增强CT:肝S5段胆囊窝旁见一结节状等密
[Abstract]:The patient, male, 39 years old, had no obvious discomfort. The physical examination showed that the liver was located in the hospital in September 29, 2013. Physical examination: general condition, skin, sclera without yellow dye, untouched under the liver and spleen, untouched superficial lymph nodes, the upper boundary of the right clavicle in the fifth ribs, the lower boundary of the right clavicle, about 5 mm under the middle rib of the right clavicle, in the mass, No pressure pain percussion. Related biochemical examination: four indexes of tumor were normal, direct bilirubin 10.26 mol/L, indirect bilirubin 8.93 u mol/L, glutamic pyruvate transaminase 139.48 U/L, alanine aminotransferase 201.34 U/L, and six items of hepatitis B showed "small three yang".
【作者单位】： 南昌大学第二附属医院超声科;
【分类号】：R735.7;R445;R730.44
，

本文编号：1969667