| Item type |
文献 / Documents(1) |
| 公開日 |
2017-11-28 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.2152/jmi.52.203 |
|
|
言語 |
ja |
|
|
関連名称 |
10.2152/jmi.52.203 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
A patient with adult extrahepatic portal obstruction, of which distinction from intrahepatic cholangiocarcinoma was difficult |
|
言語 |
en |
| 著者 |
ホリエ, タカヒロ
シミズ, イチロウ
オカザキ, ミチヨ
フジワラ, ケンスケ
フジワラ, ソウイチロウ
ヤマモト, コウジ
イウチ, アラタ
タナガミ, アキヒト
ヒロカワ, ミツヨシ
伊東, 進
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
A 51-year-old Japanese male with chief complaints of slightly high fever and epigastralgia was hospitalized at our facility. The inflammatory response was enhanced, and liver dysfunction was observed. Abdominal ultrasonography demonstrated a hyperechoic lesion occupying the left portal vein, and abdominal plain CT indicated a low density of the lesion with a clear boundary, measuring about 3 cm× 2 cm, between the porta hepatis and segment IV of the liver. Contrast CT showed no enhancement in the arterial and portal phases, but a reduction in the density inside the tumor in the equilibration phase was noted. MRI showed hypointensity by T1-weighted imaging and hyperintensity by T2-weighted imaging. Angiography demonstrated an obstruction of the left portal vein and superior mesenteric vein, and endoscopic retrograde cholangiography revealed a constriction in the left intrahepatic bile duct. Since the possibility of intrahepatic cholangiocarcinoma could not be excluded, extended left hepatectomy combined with caudate lobectomy was performed. The tumor, measuring 31 mm× 21 mm×20 mm, was pathohistologically diagnosed as an extrahepatic portal obstruction. Extrahepatic portal obstruction is an important disease that is sometimes difficult to rule out oncologic origin. |
|
言語 |
en |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
extrahepatic portal obstruction |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
stenosis of the intrahepatic bile duct |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
portal hypertension |
| 書誌情報 |
en : The journal of medical investigation : JMI
巻 52,
号 3-4,
p. 203-207,
発行日 2005-08
|
| 収録物ID |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13431420 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11166929 |
| EID |
|
|
識別子 |
144352 |
|
識別子タイプ |
URI |
| 言語 |
|
|
言語 |
eng |
jmi_52_3-4_203.pdf (205 KB)
