MF, Central Medical Library, Lj. (CMK)
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Večžariščni infantilni jetrni hemangiom : prikaz primera = Multifocal infantile hepatic hemangioma : a case reportKitanovski, Tjaša ; Grzelja, Jurica ; Plut, Domen, 1982-Infantilni hemangiomi so žilni tumorji, ki se najpogosteje pojavljajo na koži dojenčka, med notranjimi organi pa so najpogosteje prizadeta jetra. Običajno so povsem asimptomatski, lahko pa povzročajo ... hudo klinično sliko srčnega popuščanja v prvih šestih mesecih življenja. UZ in MR so nam v pomoč pri prikazu lezij, oceni njihove velikosti, številčnosti in lokacije. Pomembno je, da s preiskavami predvsem izključimo jetrne malignome otrok (kot sta hepatoblastom in metastatski nevroblastom). Simptomatske hemangiome začnemo zdraviti s propranololom, ki učinkovito zmanjša velikost tumorja in simptome, ki jih ta povzroča. V primeru neodzivnosti na zdravljenje z zdravili ali življenjske ogroženosti razmislimo tudi o uporabi embolizacije ali presaditvi jeter. V članku predstavljamo primer šestmesečne deklice, ki je prišla v bolnišnico z znaki srčnega popuščanja, v Klinični center pa zaradi dodatne diagnostike srčnega popuščanja. S slikovnimi preiskavami smo odkrili številne jetrne spremembe, skladne z diagnozo večžariščnega infantilnega jetrnega hemangioma, ki je zaradi povečanega pretoka krvi skozi spremembe povzročil hemodinamsko obremenitev srca in srčno popuščanje. Deklica je pričela zdravljenje s propranololom in kortikosteroidi, po katerem je prišlo do kliničnega izboljšanja in regresije večžariščnega infantilnega jetrnega hemangioma.Source: Medicinski razgledi : [medicinski pregledni, strokovni in raziskovalni članki]. - ISSN 0025-8121 (Letn. 63, št. 1, mar. 2024, str. 101-108)Type of material - article, component part ; adult, seriousPublish date - 2024Language - slovenianCOBISS.SI-ID - 198818819
Author
Kitanovski, Tjaša |
Grzelja, Jurica |
Plut, Domen, 1982-
Topics
otrok |
hemangiom |
jetra |
radiološka diagnostika |
child |
hemangioma |
liver |
diagnostic radiology
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source: Medicinski razgledi : [medicinski pregledni, strokovni in raziskovalni članki]. - ISSN 0025-8121 (Letn. 63, št. 1, mar. 2024, str. 101-108)
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Kitanovski, Tjaša | ![]() |
Grzelja, Jurica | ![]() |
Plut, Domen, 1982- | 38836 |
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