| Spontaneous rupture of splenic hamartoma in a patient with hepatitis C virus-related cirrhosis and portal hypertension： A case report and review of the literature |
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| 引用本文： | Seyama Y,Tanaka N,Suzuki Y,Nagai M,Furuya T,Nomura Y,Ishii J,Nobori M. Spontaneous rupture of splenic hamartoma in a patient with hepatitis C virus-related cirrhosis and portal hypertension： A case report and review of the literature[J]. World journal of gastroenterology : WJG, 2006, 12(13): 2133-2135. DOI: 10.3748/wjg.v12.i13.2133 |
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| 作者姓名： | Seyama Y Tanaka N Suzuki Y Nagai M Furuya T Nomura Y Ishii J Nobori M |
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| 作者单位： | Department of Surgery Asahi General Hospital Chiba,Japan,Department of Surgery Asahi General Hospital,Chiba,Japan,Department of Pathology Asahi General Hospital,Chiba,Japan,Department of Surgery Asahi General Hospital,Chiba,Japan,Department of Surgery Asahi General Hospital,Chiba,Japan,Department of Surgery Asahi General Hospital,Chiba,Japan,Department of Surgery Asahi General Hospital,Chiba,Japan,Department of Surgery Asahi General Hospital,Chiba,Japan |
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| 摘 要： | Spontaneous rupture is a rare complication of splenic hamartoma. A review of the literature revealed only four such cases. To the best of our knowledge, this is the first report of spontaneous rupture of splenic hamartoma associated with liver cirrhosis and portal hypertension. A 53-year-old woman, who was followed up for aortic dissection and hepatitis C virus (HCV)-related liver cirrhosis, was referred with sudden left chest and shoulder pain. An abdominal ultrasound showed intraabdominal bleeding, and computed tomography indicated rupture of a splenic tumor. Emergent splenectomy was carried out. The postoperative course was uneventful, and the patient was discharged on the 13th postoperative day. Pathology revealed the tumor to be a ruptured splenic hamartoma. The non-tumorous splenic parenchyma revealed congestive changes. We consider that the presence of liver cirrhosis and portal hypertension are risk factors for spontaneous rupture of the splenic hamartoma.
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| 关 键 词： | 脾脏错构瘤 高血压 丙型病毒肝炎 治疗 |
| 收稿时间： | 2005-06-15 |
Spontaneous rupture of splenic hamartoma in a patient with hepatitis C virus-related cirrhosis and portal hypertension: a case report and review of the literature |
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| Seyama Yasuji,Tanaka Nobutaka,Suzuki Yoshio,Nagai Motoki,Furuya Takatoshi,Nomura Yukihiro,Ishii Jimpei,Nobori Masakazu. Spontaneous rupture of splenic hamartoma in a patient with hepatitis C virus-related cirrhosis and portal hypertension: a case report and review of the literature[J]. World journal of gastroenterology : WJG, 2006, 12(13): 2133-2135. DOI: 10.3748/wjg.v12.i13.2133 |
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| Authors: | Seyama Yasuji Tanaka Nobutaka Suzuki Yoshio Nagai Motoki Furuya Takatoshi Nomura Yukihiro Ishii Jimpei Nobori Masakazu |
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| Affiliation: | Department of Surgery, Asahi General Hospital, Chiba, Japan Yoshio Suzuki, Department of Pathology, Asahi General Hospital,Chiba, Japan |
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| Abstract: | Spontaneous rupture is a rare complication of splenic hamartoma. A review of the literature revealed only four such cases. To the best of our knowledge, this is the first report of spontaneous rupture of splenic hamartoma associated with liver cirrhosis and portal hypertension. A 53-year-old woman, who was followed up for aortic dissection and hepatitis C virus (HCV)-related liver cirrhosis, was referred with sudden left chest and shoulder pain. An abdominal ultrasound showed intraabdominal bleeding, and computed tomography indicated rupture of a splenic tumor. Emergent splenectomy was carried out. The postoperative course was uneventful, and the patient was discharged on the 13th postoperative day. Pathology revealed the tumor to be a ruptured splenic hamartoma. The non-tumorous splenic parenchyma revealed congestive changes. We consider that the presence of liver cirrhosis and portal hypertension are risk factors for spontaneous rupture of the splenic hamartoma. |
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| Keywords: | Splenic hamartoma Spontaneous rupture Hepatitis C virus Cirrhosis Portal hypertension |
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