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患者女,78岁。扪及腹部包块来诊。超声显示:肝脏大部分位于左上腹,小部分位于右下腹,大体呈“胃”型;胆囊位于左中腹;脾静脉及肠系膜上静脉于右上腹汇合成门静脉,门静脉向左横过中线进入第一肝门;胆总管无扩张;肝后段下腔静脉轻度扩张,与右房及肝下段下腔静脉扭曲连接,肝静脉无扩张;胃大部分位于肝脏后方;脾脏位于左侧腹,腊肠型(图1);心脏房室位置及连接正常。行腹部CT检查(图2),亦证实超声所见,综合影像学诊断:异
Female patient, 78 years old. Palpable abdominal mass to diagnosis. Ultrasound showed that most of the liver was located in the left upper abdomen, the small part was located in the right lower abdomen and was generally “stomach” type; the gallbladder was located in the left middle abdomen; the splenic vein and superior mesenteric vein merged into the portal vein in the right upper quadrant and the portal vein crossed left The first hepatic portal; common bile duct dilatation; posterior segment of the inferior vena cava slightly dilated, and inferior vena cava and right inferior vena cava twisted connection, no expansion of the hepatic veins; most of the stomach located in the liver behind; spleen in the left flank, Sausage type (Figure 1); atrioventricular position and connection is normal. Line abdominal CT examination (Figure 2), also confirmed ultrasound findings, comprehensive imaging diagnosis: different