外垂性肝血管瘤的超音波檢查：病例報告

Ultrasound Detection of Pedunculated Hepatic Hermangioma: A Case Report

吳重慶(Chung-Chieng Wu) ； 楊達明(Ta-Min Yang) ； 卓啟裕(Jolentino Co) ； 蔡建中(Chien-Chung Tsai) ； 王俊雄(Chun-Hsiang Wang) ； 張國寬(Kuo-Kuan Chang) ； 魏克承(Keh-Cheng Wey) ； 梁啟誠(Chi-Cheng Liang) ； 唐家沛(Chia-Pei Tang)

《秀傳醫學雜誌》 2卷1期 (2000/01) Pp. 37-40

摘要

35歲的少婦因輕度食慾不振、暈眩與左側腰部酸痛，而接受檢查。上消化道內視鏡呈現胃底部粘膜下腫瘤(submucosal tumor)，腹部超音波檢查懷疑胃平滑肌瘤(gastric leiomyoma)。進一步的電腦斷層和血管攝影檢查，發現是左葉肝臟外垂的多洞性血管瘤(cavernous hemangioma)。經手術切除後，病理檢查証實為此－病變。本例報告提示：超音波檢查對於左側上腹部腫瘤的區別診斷，肝臟的外垂性血管瘤應為其中的一項。

關鍵字

肝臟 ； 血管瘤 ； 外垂性

並列摘要

A 35-year-old woman visited our OPD for having mild anorexia, dizziness and left flank sorepain for weeks, and received and upper gasterointestinal fiberoen-doscopy and an abdominal ultrasonography. The former revealed a submucosal tumor at upper gastric body and fundus on the posterior wall, and the latter demonstrated a huge well-defined solid mass of heterogeneous echogenicity with centrally hyperechoic change, in the left upper quadrant of the abdomen just between the stomach, the spleen and the pancreatic tail. Subsequently, an x-ray computed tomography and a celiac/selective hepatic arterial angiography were done, which resulted in a diagnosis of pedunculated hepatic cavernous hemangioma, that was proved pathologically as a cavernous hemangioma with central fibrosis at surgery. With the experience of such a case, we suggested that a pedunculated liver hemangioma should be also considered in differential diagnosis of abdominal tumor in the left upper quadrant.

並列關鍵字

liver ； hemangioma ； pedunculated