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Id: lil-762921
Autor: Shao, H.; Chen, H. Z.; Zhu, J. S.; Ruan, B.; Zhang, Z. Q.; Lin, X.; Gan, M. F..
Título: Computed tomography findings of hepatic veno-occlusive disease caused by Sedum aizoon with histopathological correlation
Fonte: Braz. j. med. biol. res = Rev. bras. pesqui. méd. biol;48(12):1145-1150, Dec. 2015. tab, graf.
Idioma: en.
Projeto: Traditional Chinese Medicine Science Research Fund; . 11th and 12th Five-Year Plan of China.
Resumo: This study investigated the value of computed tomography (CT) in the diagnosis and treatment of hepatic veno-occlusive disease (HVOD) caused by Sedum aizoon (SA). The clinical manifestations, treatment results, imaging findings, and histological findings of the liver were analyzed in 39 patients with HVOD caused by SA. Hepatomegaly, liver dysfunction, abdominal effusion, and geographic density changes on liver CT scans were found in all 39 patients. The pathological findings of histological liver examination included swelling and point-like necrosis of liver cells, significant expansion and congestion of the sinuses, endothelial swelling, and wall thickening with incomplete lumen occlusion of small liver vessels. CT geographic density changes were confirmed by histological examination of the liver in 18 patients. Sixteen patients with small amounts of ascites that started within 4 weeks of treatment recovered completely or significantly improved after symptomatic and supportive treatment. However, only 43.75% of the patients with larger amounts of ascites improved following symptomatic and supportive treatment. In conclusion, liver CT examination is a valuable, safe, and noninvasive tool for the diagnosis of HVOD caused by SA. In selected cases, liver CT examination may replace liver biopsy and histological analysis.
Descritores: Medicamentos de Ervas Chinesas/envenenamento
Hepatopatia Veno-Oclusiva
Circulação Hepática/efeitos dos fármacos
Sedum/envenenamento
-Ascite/etiologia
Biópsia
China
Hepatopatia Veno-Oclusiva/etiologia
Hepatopatia Veno-Oclusiva/patologia
Necrose
Estudos Retrospectivos
Sedum/classificação
Tomografia Computadorizada por Raios X
Limites: Adulto
Idoso
Feminino
Humanos
Masculino
Pessoa de Meia-Idade
Tipo de Publ: Research Support, Non-U.S. Gov't
Responsável: BR1.1 - BIREME



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