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患者女,14岁。因发热1周,上腹痛1天就诊。彩超提示胆囊周围血管瘤伴静脉石形成、血管畸形,并与门静脉、肝静脉、肝动脉相通;脐部与肝脏之间见管状回声相通,提示为脐静脉血管瘤。增强CT(图1A~F)示肝中静脉及门静脉左支增粗,肝中静脉最宽处直径1 cm,门静脉左支矢状部最宽处直径约1.7 cm,二者间通过一迂曲、扩张血管团相连,范围约5.7 cm×6.9 cm,该异常血管团边缘可见结节状钙化,并向肝外延伸。脐静脉开放,迂曲呈管状改变,其内可见点状高密度钙化影,胆囊周围亦见较多迂曲成团血管影及钙
Female patient, 14 years old. 1 week due to fever, upper abdominal pain 1 day treatment. Color Doppler ultrasound prompted gallbladder hemangioma with venous stone formation, vascular malformations, and with the portal vein, hepatic vein, hepatic artery communication; umbilical cord and liver tubular echo between the same, suggesting that umbilical vein hemangioma. Enhanced CT (Figure 1A ~ F) shows the left hepatic vein and portal vein thickened, the longest diameter of the middle hepatic vein 1 cm in diameter, the widest part of the left sagittal portal vein diameter of about 1.7 cm, between the two through a tortuous, Dilatation of vascular groups connected to the range of about 5.7 cm × 6.9 cm, the abnormal vascular node edge visible nodular calcification, and extended to the extrahepatic. Umbilical vein open, tortuous tube was changed, which can be seen point-like high-density calcification, gallbladder see also more tortuous group of vascular shadow and calcium