Abstract:
:We present a patient with complication of huge hepatic subcapsular hematoma after extracorporeal shock wave lithotripsy (ESWL) for pancreatic lithotripsy. The hematoma measured 78-110mm. Angiography showed a subcapsular hematoma, rather than a hematoma in the liver. In the arterial phase, the distal end of the small vessel showed spotty opacification similar to microaneurysma, suggesting that it was an injury caused by separation of the liver and its capsule, caused by the shock waves. The portal vein and hepatic vein were normal. After 8 weeks of conservative therapy, the hematoma was gradually absorbed and the patient was discharged. Eight months after the accident, the hematoma had decreased to 40mm in size. After 20 months, it was completely absorbed. The reported rate of renal subcapsular hematoma after ESWL for renal or ureter stones is 0.1%-0.7%. To date, however, only five cases of hepatic subcapsular hematoma after right renal stone disintegration have been reported. This is the first report of hepatic subcapsular hematoma after ESWL for pancreatic stones.
journal_name
J Gastroenteroljournal_title
Journal of gastroenterologyauthors
Hirata N,Kushida Y,Ohguri T,Wakasugi S,Kojima T,Fujita Rdoi
10.1007/s005350050325subject
Has Abstractpub_date
1999-12-01 00:00:00pages
713-6issue
6eissn
0944-1174issn
1435-5922journal_volume
34pub_type
杂志文章abstract:BACKGROUND:Subunit A of coagulation factor XIII (FXIII-A) is important for clot stability and acts in the subsequent wound healing process. Loss of plasma FXIII-A has been reported after surgery, sepsis, and inflammatory conditions. In the intestinal mucosa, FXIII-A is expressed by macrophages and cellular FXIII-A has ...
journal_title:Journal of gastroenterology
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journal_title:Journal of gastroenterology
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更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:A prospective, randomized study was performed to determine whether gemcitabine infusion at a low dose (250 mg/m2) is comparable or superior to the standard-dose infusion (1000 mg/m2) in terms of the survival period, clinical benefit, and frequency of adverse effects in patients with advanced pancreatic adeno...
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pub_type: 杂志文章,随机对照试验
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更新日期:1999-02-01 00:00:00
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abstract:BACKGROUND:Inflammatory bowel disease affects the quality of a patient's life in many ways, but no validated instrument for measuring disease-specific quality of life in these patients is available in Japan. We developed a Japanese version of the Inflammatory Bowel Disease Questionnaire (IBDQ), together with the author...
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pub_type: 杂志文章
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更新日期:2003-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-01-01 00:00:00
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更新日期:1997-12-01 00:00:00
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journal_title:Journal of gastroenterology
pub_type: 杂志文章,评审
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更新日期:1998-02-01 00:00:00
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journal_title:Journal of gastroenterology
pub_type: 杂志文章,评审
doi:10.1007/s00535-014-1032-1
更新日期:2015-04-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章
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更新日期:2011-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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更新日期:2012-04-01 00:00:00