A patient with liver trauma and incomplete behcet s disease.

Ahmet Ender Demirkiran, Hedef Ozgun, Serdar Mustafa Ozbas, Ali Dogan Bozdag, Alev Akdilli
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引用次数: 0

Abstract

Behcet' s Disease (BD ) is a complex multisystemic disease, which is characterized by recurrent oral and genital aphteous ulcers and iritis in which vasculitis can also be one of the possible clinical manifestations. A thirty seven year-old female patient with incomplete BD was admitted to emergency service, with intra-abdominal hemorrhage more severe than that would be expected, with the degree of related trauma. We decided to manage the patient conservatively, observing vital signs, haemogram, computed tomography (CT) and angiography instead. Subcapsular hematomas were detected in the right and left lobes of the liver. No data was encountered in the literature and textbooks referring to liver trauma with BD, except a case of fatal hemobilia. H ere in we present a liver trauma case with hemorrhage and hepatic fragility due to vasculitis in Behcet' s disease and review the literature. Key words: liver trauma, incomplete Behcet' s disease

1例肝外伤合并不完全性白塞病患者。
白塞病(Behcet' s Disease, BD)是一种复杂的多系统疾病,以复发性口腔和生殖器溃疡和虹膜炎为特征,其中血管炎也可能是临床表现之一。一位37岁的不完全性双相障碍女性患者因腹部出血严重程度超过预期而被送至急诊。我们决定对患者进行保守治疗,改为观察生命体征、血象、计算机断层扫描(CT)和血管造影。左、右叶均可见肝包膜下血肿。除了一例致死性胆道出血外,在文献和教科书中未见有关BD肝损伤的资料。在此,我们报告一例因白塞氏病血管炎引起的肝损伤并出血和肝脆弱的病例,并复习文献。关键词:肝损伤;不完全白塞病
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