María Alejandra Garza-Ledezma, Sofía Mariño-Velasco, Mariana García-Leal, Joel Omar Jáquez-Quintana, Héctor Jesús Maldonado-Garza
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引用次数: 0
摘要
本病例报告描述了一名患有 Child-Pugh B 慢性肝病的 81 岁男性患者出现呼吸困难和非典型心前区疼痛。评估结果显示患者存在三度房室传导阻滞,因此需要临时安置起搏器。便携式心脏超声检查发现右心房腔内肿块。三相腹部CT扫描发现肝脏第VII和VIII节段有一个实性病灶,显示动脉期增强和晚期冲洗。肿瘤病灶大小为 9.3 x 8.3 厘米,呈分叶状,边界不清,向右肝上静脉、下腔静脉和右心房延伸。
Hepatocellular carcinoma with tumoral extension to the inferior vena cava and right atrium.
This case report describes an 81-year-old male with Child-Pugh B chronic liver disease presenting with dyspnea and atypical precordial pain. Evaluation revealed a third-degree atrioventricular block, necessitating temporary pacemaker placement. Portable cardiac ultrasound identified an intracavitary mass in the right atrium. A triphasic abdominal CT scan unveiled a solid lesion in hepatic segments VII and VIII, displaying arterial phase enhancement and late-phase washout. The neoplastic lesion, measuring 9.3 x 8.3 cm, exhibited lobulated, poorly defined borders, with extension into the right suprahepatic vein, inferior vena cava, and right atrium.
期刊介绍:
La Revista Española de Enfermedades Digestivas, Órgano Oficial de la Sociedad Española de Patología Digestiva (SEPD), Sociedad Española de Endoscopia Digestiva (SEED) y Asociación Española de Ecografía Digestiva (AEED), publica artículos originales, editoriales, revisiones, casos clínicos, cartas al director, imágenes en patología digestiva, y otros artículos especiales sobre todos los aspectos relativos a las enfermedades digestivas.