COMPUTED-TOMOGRAPHY FOR DIAGNOSIS OF HEPATIC RUPTURE IN PRIMARY SYSTEMIC AMYLOIDOSIS

被引:27
作者
GASTINEAU, DA [1 ]
GERTZ, MA [1 ]
ROSEN, CB [1 ]
KYLE, RA [1 ]
机构
[1] MAYO CLIN & MAYO FDN,TRANSPLANT SURG SECT,ROCHESTER,MN 55905
关键词
ANTEMORTEM; SURGICAL REPAIR; BLEEDING; HEPATIC RUPTURE; AMYLOIDOSIS; LIVER;
D O I
10.1002/ajh.2830370312
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hepatic rupture in primary systemic amyloidosis is extremely ominous; death occurs in hours to days. We present two cases of hepatic rupture diagnosed ante mortem with computed tomography (CT). Surgical repair was possible in one instance and successfully controlled the bleeding. In the setting of primary amyloidosis, the early use of CT scanning for undiagnosed ascites, hypotension, or rapid organ enlargement may lead to early diagnosis and potential surgical correction.
引用
收藏
页码:194 / 196
页数:3
相关论文
共 7 条
[1]   SPONTANEOUS RUPTURE OF THE LIVER ASSOCIATED WITH AMYLOIDOSIS [J].
ADES, CJ ;
STRUTTON, GM ;
WALKER, NI ;
FURNIVAL, CM ;
WHITING, G .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 1989, 11 (01) :85-87
[2]  
DOLLE W, 1963, ACTA HEPATO-SPLENOL, V10, P41
[3]  
GASTINEAU DA, IN PRESS BLOOD
[4]   FACTOR-X DEFICIENCY IN AMYLOIDOSIS - A CRITICAL-REVIEW [J].
GREIPP, PR ;
KYLE, RA ;
BOWIE, EJW .
AMERICAN JOURNAL OF HEMATOLOGY, 1981, 11 (04) :443-450
[5]   ACQUIRED FUNCTIONAL ASPLENIA - ASSOCIATION WITH SPONTANEOUS RUPTURE OF THE SPLEEN AND FATAL SPONTANEOUS RUPTURE OF THE LIVER IN AMYLOIDOSIS [J].
HURD, WW ;
KATHOLI, RE .
ARCHIVES OF INTERNAL MEDICINE, 1980, 140 (06) :844-845
[6]  
OKAZAKI K, 1986, Gastroenterologia Japonica, V21, P518
[7]   BLEEDING MANIFESTATIONS IN 100 PATIENTS WITH AMYLOIDOSIS [J].
YOOD, RA ;
SKINNER, M ;
RUBINOW, A ;
TALARICO, L ;
COHEN, AS .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1983, 249 (10) :1322-1324