国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (18): 3092-3094.DOI: 10.3760/cma.j.cn441417-20240101-18019

• 病例报告 • 上一篇    下一篇

肝脏嗜酸性粒细胞浸润误诊1例

赵小漫1  朱明莉1  韩志浩2  刘春光3   

  1. 1青岛大学附属威海市中心医院消化内科,威海 264400;2青岛大学附属威海市中心医院影像科,威海 264400;3文登整骨烟台医院影像科,烟台 264003

  • 收稿日期:2024-03-09 出版日期:2025-09-15 发布日期:2025-09-28
  • 通讯作者: 刘春光,Email:285698270@qq.com
  • 基金资助:

    山东省医药卫生科技发展计划(202209010213)

One case of misdiagnosis of eosinophilic hepatic infiltration

Zhao Xiaoman1, Zhu Mingli1, Han Zhihao2, Liu Chunguang3   

  1. 1 Department of Gastroenterology, Weihai Central Hospital, Qingdao University, Weihai 264400, China; 2 Imaging Department, Weihai Central Hospital, Qingdao University, Weihai 264400, China; 3 Imaging Department, Wendeng Orthopedics Yantai Hospital, Yantai 264003, China

  • Received:2024-03-09 Online:2025-09-15 Published:2025-09-28
  • Contact: Liu Chunguang, Email: 285698270@qq.com
  • Supported by:

    Plan for Development of Medicine and Health Science and Technology in Shandong (202209010213)

摘要:

肝脏嗜酸性粒细胞浸润(eosinophilic hepatic infiltration,EHI)是一种以嗜酸性粒细胞持续过量增殖为特征,浸润局部肝脏组织所致的肝脏病变,临床罕见,易漏诊及误诊。本文报道青岛大学附属威海市中心医院收治的1例EHI患者,术前误诊为肝脏炎性肌纤维母细胞瘤(hepatic inflammatory myofibroblastic tumor,HIMT),术后组织病理学检查确诊为EHI。回顾性分析其诊治经过及误诊原因,旨在为该病的临床诊疗提供参考。

关键词:

肝脏, 嗜酸性粒细胞浸润, 炎性肌纤维母细胞瘤, 误诊

Abstract:

Eosinophilic hepatic infiltration (EHI) is a rare and easily misdiagnosed liver disease characterized by sustained excessive proliferation of eosinophils infiltrating local liver tissue. This article reports a patient with EHI admitted to Weihai Central Hospital, Qingdao University. Preoperative misdiagnosis was hepatic inflammatory myofibroblastic tumor (HIMT), and postoperative histopathological examination confirmed EHI. The diagnosis and treatment process and misdiagnosis reasons were retrospectively analyzed, so as to provide some references for the clinical diagnosis and treatment of this disease.

Key words:

Liver, Eosinophilic infiltration, Inflammatory myofibroblastic tumor, Misdiagnosis