Nature clinical practice. Gastroenterology & hepatology · 2006
Hepatic adenomatosis in a young woman with glucose intolerance.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Bambha Kiran, Nagorney David, Sanderson Schuyler, Gores Gregory J
Аннотация
BACKGROUND: A 30-year-old white woman presented to our department in December 2004 for clinical evaluation of episodic, severe, right upper quadrant pain. She was otherwise healthy and her only medication was a daily oral contraceptive pill. Her past medical history was notable for gestational diabetes and fasting hyperglycemia since her pregnancy. Family history was significant for a younger sister with diabetes mellitus, but no known family history of liver disease.
INVESTIGATIONS: Physical examination, laboratory investigations, multiphasic CT scan of the abdomen, exploratory laparotomy with biopsies.
DIAGNOSIS: Hepatic adenomatosis.
MANAGEMENT: Subsegmental hepatic resection followed by interval, long-term follow-up with hepatic imaging.
INVESTIGATIONS: Physical examination, laboratory investigations, multiphasic CT scan of the abdomen, exploratory laparotomy with biopsies.
DIAGNOSIS: Hepatic adenomatosis.
MANAGEMENT: Subsegmental hepatic resection followed by interval, long-term follow-up with hepatic imaging.