Misdiagnosis of peritoneal pseudomyxoma as cirrhotic ascites: a report of 2 cases
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摘要:
<正>腹膜假性黏液瘤(pseudomyxoma peritonei,PMP)是一种腹腔充有大量胶样黏蛋白形成假性腹水的疾病[1],患者主要是以腹部进行性肿大、腹部胀痛为主诉,影像学可见肝脏受压缩小、边缘出现扇贝样缺损及大量腹水,易误诊为肝硬化腹水。现将本院2例曾被误诊为肝硬化腹水的PMP病例报道如下。1病例资料病例1:患者女性,80岁,因"腹胀1个月余",经门诊以"肝硬化腹水"收住院。13岁时曾患肺结核,应用链霉素、异烟肼治疗,胸部X线提示病灶已钙化,
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Key words:
- pseudomyxoma peritonei /
- liver cirrhosis /
- ascites /
- diagnostic errors /
- case reports
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[1]LIU S, ZHANG GY, YANG ZM.Clinical application of Flo Trac/Vigileo system in pseudomyxomape tonei cytoreductive surgery combined with continuous hyperthernic pertoneal perfusion[J].China Med Herald, 2016, 13 (1) :87-91. (in Chinese) 刘硕, 张古月, 杨占民.Flo Tral/Vigileo系统在腹膜假黏液瘤减瘤术联合腹腔内热灌注化疗中的临床应用[J].中国医药导报, 2016, 13 (1) :87-91. [2]WITHAM G.Pseudomyxoma peritonei[J].Nurs Times, 2003, 99 (1) :30-32. [3]YAN JB.Three cases report of abdominal myxoma from rupture of ovarian mucous cystoadenoma[J].Chin J Modern Operative Surg, 2003, 7 (2) :114. (in Chinese) 晏吉宾.卵巢粘液性囊腺瘤破裂致腹腔粘液瘤3例报告[J].中国现代手术学杂志, 2003, 7 (2) :114. [4]LIAO X, CHENG Y, NIU YK, et al.Analyzing study of clinical pathology and imaging manifestations of pseudomyxoma peritonei[J].Radiol Pract, 2006, 21 (4) :380. (in Chinese) 廖昕, 程勇, 牛艳坤, 等.腹膜假性粘液瘤的临床病理与影像表现分析[J].放射学实践, 2006, 21 (4) :380. [5]BECHTOLD RE, CHEN MYM, LOGGIE BW, et al.CT appearance of disseminated peritoneal adenomucinosis[J].Abdom Imaging, 2001, 26 (4) :406. [6]PICKHARDT PJ, LEVY AD, ROHRMANN CA, et al.Primary neoplasms of the appendix:radiologic spectrum of disease with pathologic correlation[J].Radio Graphics, 2003, 23 (5) :1340. [7]ZHAN YZ, CHEN WG, DING JN.Etiological analysis of 355 cases with ascites of unknown origin[J].Zhejiang Med J, 2012, 34 (3) :215-217. (in Chinese) 詹雅珍, 陈文果, 丁金囡.不明原因腹水355例病因分析[J].浙江医学, 2012, 34 (3) :215-217. [8]ITO K, MITCHELL DG, GABATA T.Enlargement of hilar periportal space:A sign of early cirrhosis at MR imaging[J].JMRI, 2000, 11 (2) :136-140. [9]ITO K, MITCHELL DG, SIEGELMAN ES.Cirrhosis:MR imaging features[J].Magn Reson Im-aging Clin N Am, 2002, 10 (1) :75-92. [10]TAN GQ, WU B, LAN Y, et al.CT diagnosis and differential diagnosis of Pseudomyxoma Peritonei[J].Chin J CT MRI, 2004, 5 (2) :37-39. (in Chinese) 谭国强, 吴标, 兰勇, 等.腹膜假性粘液瘤的CT诊断与鉴别诊断[J].中国CT和MRI杂志, 2004, 5 (2) :37-39.
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