肝硬化

介绍
腹部疼痛和肝酶升高。

患者资料
年龄：20岁
性别：女

CT

Axial C+ arterial phase


Axial C+ portal venous phase


Axial C+ delayed


Coronal C+ portal venous phase


Sagittal C+ portal venous phase

肝脏显示结节状轮廓和实质，尾状叶相对肥大，符合肝硬化。CT未发现有利于HCC的肝高血管性肿块。

门静脉高压的特征是脾肾区和脾门区静脉扩张和充盈。门静脉、脾静脉和肠系膜上静脉通常不透明。没有证据表明门静脉海绵样变。

巨大的脾肿大是明显的，其头尾高度测量约225毫米。

案例讨论

肝硬化伴巨大脾肿大和门脉高压的证据。

肝硬化是导致肝细胞坏死的各种慢性肝病过程的共同终点。肝硬化可以通过超声、CT和MRI进行诊断，这些成像方式也可以用来评估肝硬化可能的并发症，如门脉高压症或肝细胞癌。

流行病学

肝硬化的人口统计学反映了其根本原因。酒精中毒和病毒性肝炎的常见原因是静脉吸毒或在流行地区。

参考资料：
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