Adult Hepatic Hemangiomatosis: Report of a Case

成人肝臟血管瘤病：一病例報告

曾兆明(Chao-Ming Tseng) ； 黃武雄(Wu-Shiung Huang) ； 張宏正(Hong-Cheng Chang) ； 張吉仰(Chi-Yang Chang) ； 林肇堂(Jaw-Town Lin) ； 戴啟明(Chi-Ming Tai)

《臺灣消化醫學雜誌》 28卷4期 (2011/12) Pp. 385-389

https://doi.org/10.6557/GJT.201112_28(4).0008

摘要

肝臟血管瘤病在成人極為罕見。一位59歲男性因腹漲、雙腳水腫、茶色尿三週而就醫。身體檢查發現肝腫大及鞏膜變黃，血液檢驗顯示貧血及血小板低下，而生化檢查顯示肝臟代償不全、急性腎衰竭以及黃疸。B型及C型肝炎血清學檢查呈陰性反應及胎兒蛋白正常。超音波及電腦斷層顯示肝腫大併多發性肝腫瘤。而磁振照影顯示肝內多發性腫瘤，並有延遲顯影的特徵。經肝臟切片病理報告証實為肝臟血管瘤病。在住院過程中，病人併發肝衰竭。病人於住院後第十二天，死於肝衰竭。

關鍵字

肝腫瘤 ； 肝臟血管瘤病 ； 肝衰竭 ； 磁振照影

並列摘要

Hepatic hemangiomatosis is rare in adults. We present a case of hepatic hemangiomatosis in a 59-year-old man presenting with a 3-week history of abdominal distention, foot edema, and tea-colored urine. Physical examination revealed hepatomegaly and icteric sclera. Hemogram revealed anemia and thrombocytopenia. Biochemical tests revealed hypoalbuminemia, hyperbilirubinemia, and renal dysfunction. The results of serological tests for detecting the presence of hepatitis B surface antigen and antibody to hepatitis C virus were negative. Abdominal ultrasonography (US) revealed hepatomegaly and multiple hepatic tumors, while computed tomography (CT) of the liver revealed hepatomegaly with multiple hepatic lesions of heterogeneous densities. Further, magnetic resonance (MR) imaging revealed numerous hyperintense tumors on T2-weighted images (WIs) and heterogeneous, progressive enhancement of tumors on dynamic, contrast-enhanced T1WIs. Liver biopsy showed hemangiomatosis. After admission, the patient's hepatic and renal functions deteriorated further, and he developed hepatic encephalopathy. He died of hepatic failure on the 12(superscript th) day of hospitalization.

並列關鍵字

hepatic tumor ； hemangiomatosis ； liver failure ； magnetic resonance imaging