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Spontaneous liver rupture as first sign of polyarteritis nodosa

World Journal of Hepatology 2016年第32期8卷 1414-1418页

作者： Irene Gómez-Luque Felipe Alconchel rubén ciria M Dolores Ayllón Antonio Luque Marina Sánchez Pedro López-Cillero Javier Briceno General Surgery Reina Sofía University Hospital Department of Surgery Faculty of Medicine and NursingUniversity of Córdoba Unit of Hepatobiliary Surgery and Liver Transplant Reina Sofía University Hospital Department of Pathology Reina Sofía University Hospital

Polyarteritis nodosa(PAn) is one of the systemic vasculitis that affects the media wall of arteries of small and medium diameter. Diagnosis proves difficult due to the unspecific symptoms that dominate the clinical profile. Liver involvement is very diverse, ranging from the development of cirrhotic liver disease to acute abdomen presentation that requires surgery because of liver rupture. The management of these patients requires an expert multidisciplinary team. There are several cases in the literature that describe a sudden liver rupture as the first manifestation of a PAn. In this paper we present the case of a 75 years old patient without any previous disease, who is subjected to major hepatic resection for spontaneous liver rupture.

关键词： Polyarteritis nodosa Spontaneous liver rupture Liver surgery Vasculitis Rheumatology

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Efficacy of neoadjuvant therapy and surgical rescue for locally advanced hepatoblastomas:10 year single-center experience and literature review

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World Journal of Gastroenterology 2014年第29期20卷 10137-10143页

作者： Dolores Ayllon Teran Oscar Gómez Beltran rubén ciria Bru Elena Mateos González María José Pea Rosa Antonio Luque Molina Pedro López Cillero Javier Briceo Delgado Department of Surgery Reina Sofia Hospital Department of Pediatric Surgery Reina Sofia Hospital Department of Pediatric Oncology Reina Sofia Hospital

AIM: To report our experience with long-term outcomes after multimodal management therapy.

关键词： Liver tumors Chemotherapy Liver surgery Multimodal management

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Late hepatic artery pseudoaneurysm:A rare complication after resection of hilar cholangiocarcinoma

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World Journal of Gastroenterology 2008年第38期14卷 5920-5923页

作者： Javier Briceńo lvaro naranjo rubén ciria Juan Manuel Sánchez-Hidalgo Luis Zurera Pedro López-Cillero Hepatobiliary Surgery and Liver Transplantation Unit Department of Surgery Hospital Universitario Reina SofíaCórdoba 14004 Spain Interventional Radiology Unit Department of Surgery Hospital Universitario Reina SofíaCórdoba 14004 Spain

We report an unusual pathological entity of a pseudoaneurysm of the right hepatic artery, which developed two years after the resection of a type 11 hilar cholangiocarcinoma and secondary to an excessive skeletonization for regional lymphadenectomy and neoadjuvant external-beam radiotherapy. After a sudden and massive hematemesis, a multidetector computed tomographic angiography （MDCTA） showed a hepatic artery pseudoaneurysm. Angiography with embolization of the pseudoaneurysm was attempted using microcoils with adequate patency of the hepatic artery and the occlusion of the pseudoaneurysm. A new episode of hematemesis 3 wk later revealed a partial revascularization of the pseudoaneurysm. A definitive interventional radiological treatment consisting of transarterial embolization （TAE） of the right hepatic artery with stainless steel coils and polyvinyl alcohol particles was effective and welltolerated with normal liver function tests and without signs of liver infarction.

关键词： Hepatic artery pseudoaneurysm Hilar cholangiocarcinoma Pseudoaneurysm embolization Transarterial embolization Chemoradiotherapy

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