肝脓肿并发肝动脉-假性动脉瘤-肝静脉瘘1例

发布时间：2018-02-03 02:34

  本文关键词： 肝脓肿 假性动脉瘤 体层摄影术 X线计算机 血管造影术 数字减影　出处：《中国医学影像技术》2016年01期 　论文类型：期刊论文

【摘要】：正患者男,51岁,因"高热、纳差1月余"就诊。2年前确诊原发性肝细胞癌并接受外科切除术,后间断行3次选择性肝动脉造影并化疗栓塞术,4个月前行射频消融术(radio frequency ablation,RFA)和125I粒子置入术,3个月前复查CT示门静脉癌栓并食管胃底静脉严重曲张,后行门静脉支架置入并曲张静脉栓塞术。40天前患者突发寒颤高热,最高至41℃;CT可见原消融区呈较低密度影,内可见气体影,增强扫描后病灶周围见轻度强化(图1),结合患者临床症状,考虑并发肝脓肿,遂行经皮肝穿置管引流术,术中经引流管造影可见肝静脉显影,引流管间断引流出粉红色浓稠液体,使用抗生素冲管后患者症状
[Abstract]:The patient was 51 years old. He was diagnosed with primary hepatocellular carcinoma (HCC) 2 years ago and underwent surgical resection because of "high fever and anorexia on January". After that, selective hepatic arteriography and chemoembolization were performed three times. Radiofrequency ablation (RFA) and 125i seed implantation were performed before 4 months. Before 3 months, CT examination showed portal vein tumor thrombus with severe esophageal and gastric varices, then portal vein stent implantation and varicose vein embolization. 40 days before embolization, the patients had sudden chills and high fever, up to 41 鈩，

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