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Эхографические исследования в детской гепатологии
Делягин В.М., Уразбагамбетов А., Мельникова И.В. Эхографические исследования в детской гепатологии. Consilium Medicum. Педиатрия (Прил.). 2016; 1: 92–97.
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Delyagin V.M., Urazbagambetov A., Melnikova I.V. Clinical problems of ultrasound diagnosis of liver disease. Consilium Medicum. Pediatrics
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Аннотация
На основании собственных наблюдений и данных литературы анализируются возможности ультразвуковой локации печени в педиатрии. Представлена методика исследования. Даны сведения о частоте клинических и инструментально-лабораторных проявлений основных поражений печени в детском возрасте.
Ключевые слова: печень, клиническая анатомия, диффузные поражения, очаговые поражения, ультразвуковая диагностика.
Ключевые слова: печень, клиническая анатомия, диффузные поражения, очаговые поражения, ультразвуковая диагностика.
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Based on his own observations and literature data are analyzed possibilities of ultrasonic location in pediatric liver, the technique of research. The author described the frequency, clinical and laboratory manifestations of the instrumental and basic local and diffuse liver disease in childhood.
Key words: liver, clinical anatomy, diffuse lesions, focal lesions, ultrasound diagnostics.
Полный текст
Список литературы
1. Majno P, Mentha G, Toso Ch et al. Anatomy of the liver: an outline with three levels of complexity – a further step towards tailored territorial resections. J Hepatol 2014; 60 (3): 654–62.
2. Chamberlain R. Essential functional hepatic and biliary anatomy for surgeon. 2013. http://dx.doi.org/10.5772/53849
3. Pawlowska J, Jankowska I, Gliwicz D et al. Rare hereditary intrahepatic cholestatic syndromes in children. Exp Clin Hepatol 2010; 6 (2): 23–6.
4. Santos J, Choquette M, Bezerra J. Cholestatic liver disease in children. Curr Gastroenterol 2010; 12 (1): 30–9.
5. O’Hara S. Pediatric liver and spleen. In: Carol R. (Ed.) Diagnostic Ultrasound. Forth Edition. Mosby, 2011; p. 1800–44.
6. Ikeda S, Sera Y, Yamamoto H et al. Effect of phenobarbital on serial ultrasonic examination in the evaluation of neonatal jaundice. Clin Imaging 1994; 18 (2): 146–8.
7. Kendrick A, Phua K, Ooi B et al. Making the diagnosis of biliary atresia using the triangular cord sign and gallbladder length. Pediatr Radiol 2000; 30 (2): 69–73.
8. Gupta N, Javed A, Puris S et al. Imaging of multiple intrahepatic cysts. Oman Med J 2012; 27 (5): 421–3.
9. Todani T, Watanabe Y, Narusue M et al. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases. Am J Surg 1977; 143 (2): 263–9.
10. McHugh K, Daneman A. Multiple gastrointestinal atresias: sonography of associated biliary abnormalities. Pediatr Radiol 1991; 21: 355–7.
11. Senyuz O, Yesildag E, Kuruoglu S et al. Caroli’s disease in children: is it common misdiagnosed? Acta Paediatr 2005; 94 (1): 117–20.
12. Zissimopoulus A, Cassimos D, Deftereous S et al. Hepatobiliary scan in Alagille syndrome: arteriohepatic dysplasia. Hell J Nucl Med 2009; 12 (2): 158–60.
13. Kasai M, Suzuki H, Ohashi E et al. Technique and results of operative management of biliary atresia. World J Surg 1978; 2 (5): 571–9.
14. Bezerra J, Balistreri W. Cholestatic syndromes of infancy and childhood. Semin Gastrointest Dis 2001; 12 (2): 54–65.
15. Dubois J, Garel L, Patriquin H et al. Imaging features of type 1 hereditary tyrosinemia: a review of 30 patients. Pediatr Radiol 1996; 26 (12): 845–51.
16. Ozcan N, Oguz B, Hallilooglu M et al. Imaging patterns of fatty liver in pediatric patients. Diagn Intervent Radiol 2014; 21 (4): 355–60.
17. Aubin B, Denys A, Lafortune M et al. Focal sparing of liver parenchyma in steatosis: role of the gallbladder and its vessels. J Ultrasound Med 1995; 14 (2): 77–80.
18. Dachman A, Pakter R, Ros P et al. Hepatoblastoma: radiologic-pathologic correlation in 50 cases. Radiology 1987; 164 (1): 15–9.
19. Campenhout Van I, Patriquin H. Malignant microvasculature in abdominal tumors in children: detection with Doppler sonography. Radiology 1992; 183 (2): 445–8.
20. Meyers R. Tumors of the liver in children. Surg Oncol 2007; 16 (3): 195–203.
21. Fernandes-Pinedal I, Cabello-Laureano R. Differential diagnosis and management of liver tumors in infants. World J Hepatol 2014; 6 (7): 486–95.
22. Isaacs Jr. Fetal and neonatal hepatic tumors. J Pediatr Surg 2007; 42 (11): 1797–803.
23. Kassarjian A, Zurakowsky D, Dubois J et al. Infantile hepatic hemangiomas: clinical and imaging findings and the correlation with therapy. AJR 2004; 182 (3): 785–95.
24. Dachman A, Lichtenstein J, Friedman A, Hartman D. Infantile hemangioendothelioma of the liver: a radiologic-pathologic-clinical correlation. Am J Roentgenol 1983; 140 (6): 1091–6.
25. Cavalli R, Novotna V, Boffun R, Gelletti C. Multiple cutaneous and hepatic infantile hemangiomas having a successful respons to propronalole as monotherapy at neonatal period. G. Ital Dermatol Venerol 2013; 148 (5): 525–30.
26. Ross P, Goodman Z, Ishak K et al. Mesenchymal hamartoma of the liver: radiologic-pathologic correlation. Radiology 1986; 158 (3): 619–24.
27. Salahi R, Dehghani S, Salahi S et al. Liver abscesses in children: a 10-ear single centre experience. Saudi J Gastroenterol 2011; 17 (3): 199–202.
28. Stanley S. Amoebiasis. Lancet 2003; 361 (9362): 1025–34.
29. Czermak B, Akhan O, Hiemetzberger R et al. Echinococcus of the liver. Abdominal Imaging 2008; 33 (2): 133–43.
30. Macpherson C, Bartholomot B, Frider B. Application of ultrasound in diagnosis, treatment, epidemiology, public health and control of Echinococcus granulosis and E. multilocularis. Parasitology 2007; 127 (Suppl.): S21–35.
2. Chamberlain R. Essential functional hepatic and biliary anatomy for surgeon. 2013. http://dx.doi.org/10.5772/53849
3. Pawlowska J, Jankowska I, Gliwicz D et al. Rare hereditary intrahepatic cholestatic syndromes in children. Exp Clin Hepatol 2010; 6 (2): 23–6.
4. Santos J, Choquette M, Bezerra J. Cholestatic liver disease in children. Curr Gastroenterol 2010; 12 (1): 30–9.
5. O’Hara S. Pediatric liver and spleen. In: Carol R. (Ed.) Diagnostic Ultrasound. Forth Edition. Mosby, 2011; p. 1800–44.
6. Ikeda S, Sera Y, Yamamoto H et al. Effect of phenobarbital on serial ultrasonic examination in the evaluation of neonatal jaundice. Clin Imaging 1994; 18 (2): 146–8.
7. Kendrick A, Phua K, Ooi B et al. Making the diagnosis of biliary atresia using the triangular cord sign and gallbladder length. Pediatr Radiol 2000; 30 (2): 69–73.
8. Gupta N, Javed A, Puris S et al. Imaging of multiple intrahepatic cysts. Oman Med J 2012; 27 (5): 421–3.
9. Todani T, Watanabe Y, Narusue M et al. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases. Am J Surg 1977; 143 (2): 263–9.
10. McHugh K, Daneman A. Multiple gastrointestinal atresias: sonography of associated biliary abnormalities. Pediatr Radiol 1991; 21: 355–7.
11. Senyuz O, Yesildag E, Kuruoglu S et al. Caroli’s disease in children: is it common misdiagnosed? Acta Paediatr 2005; 94 (1): 117–20.
12. Zissimopoulus A, Cassimos D, Deftereous S et al. Hepatobiliary scan in Alagille syndrome: arteriohepatic dysplasia. Hell J Nucl Med 2009; 12 (2): 158–60.
13. Kasai M, Suzuki H, Ohashi E et al. Technique and results of operative management of biliary atresia. World J Surg 1978; 2 (5): 571–9.
14. Bezerra J, Balistreri W. Cholestatic syndromes of infancy and childhood. Semin Gastrointest Dis 2001; 12 (2): 54–65.
15. Dubois J, Garel L, Patriquin H et al. Imaging features of type 1 hereditary tyrosinemia: a review of 30 patients. Pediatr Radiol 1996; 26 (12): 845–51.
16. Ozcan N, Oguz B, Hallilooglu M et al. Imaging patterns of fatty liver in pediatric patients. Diagn Intervent Radiol 2014; 21 (4): 355–60.
17. Aubin B, Denys A, Lafortune M et al. Focal sparing of liver parenchyma in steatosis: role of the gallbladder and its vessels. J Ultrasound Med 1995; 14 (2): 77–80.
18. Dachman A, Pakter R, Ros P et al. Hepatoblastoma: radiologic-pathologic correlation in 50 cases. Radiology 1987; 164 (1): 15–9.
19. Campenhout Van I, Patriquin H. Malignant microvasculature in abdominal tumors in children: detection with Doppler sonography. Radiology 1992; 183 (2): 445–8.
20. Meyers R. Tumors of the liver in children. Surg Oncol 2007; 16 (3): 195–203.
21. Fernandes-Pinedal I, Cabello-Laureano R. Differential diagnosis and management of liver tumors in infants. World J Hepatol 2014; 6 (7): 486–95.
22. Isaacs Jr. Fetal and neonatal hepatic tumors. J Pediatr Surg 2007; 42 (11): 1797–803.
23. Kassarjian A, Zurakowsky D, Dubois J et al. Infantile hepatic hemangiomas: clinical and imaging findings and the correlation with therapy. AJR 2004; 182 (3): 785–95.
24. Dachman A, Lichtenstein J, Friedman A, Hartman D. Infantile hemangioendothelioma of the liver: a radiologic-pathologic-clinical correlation. Am J Roentgenol 1983; 140 (6): 1091–6.
25. Cavalli R, Novotna V, Boffun R, Gelletti C. Multiple cutaneous and hepatic infantile hemangiomas having a successful respons to propronalole as monotherapy at neonatal period. G. Ital Dermatol Venerol 2013; 148 (5): 525–30.
26. Ross P, Goodman Z, Ishak K et al. Mesenchymal hamartoma of the liver: radiologic-pathologic correlation. Radiology 1986; 158 (3): 619–24.
27. Salahi R, Dehghani S, Salahi S et al. Liver abscesses in children: a 10-ear single centre experience. Saudi J Gastroenterol 2011; 17 (3): 199–202.
28. Stanley S. Amoebiasis. Lancet 2003; 361 (9362): 1025–34.
29. Czermak B, Akhan O, Hiemetzberger R et al. Echinococcus of the liver. Abdominal Imaging 2008; 33 (2): 133–43.
30. Macpherson C, Bartholomot B, Frider B. Application of ultrasound in diagnosis, treatment, epidemiology, public health and control of Echinococcus granulosis and E. multilocularis. Parasitology 2007; 127 (Suppl.): S21–35.
________________________________________________
1. Majno P, Mentha G, Toso Ch et al. Anatomy of the liver: an outline with three levels of complexity – a further step towards tailored territorial resections. J Hepatol 2014; 60 (3): 654–62.
2. Chamberlain R. Essential functional hepatic and biliary anatomy for surgeon. 2013. http://dx.doi.org/10.5772/53849
3. Pawlowska J, Jankowska I, Gliwicz D et al. Rare hereditary intrahepatic cholestatic syndromes in children. Exp Clin Hepatol 2010; 6 (2): 23–6.
4. Santos J, Choquette M, Bezerra J. Cholestatic liver disease in children. Curr Gastroenterol 2010; 12 (1): 30–9.
5. O’Hara S. Pediatric liver and spleen. In: Carol R. (Ed.) Diagnostic Ultrasound. Forth Edition. Mosby, 2011; p. 1800–44.
6. Ikeda S, Sera Y, Yamamoto H et al. Effect of phenobarbital on serial ultrasonic examination in the evaluation of neonatal jaundice. Clin Imaging 1994; 18 (2): 146–8.
7. Kendrick A, Phua K, Ooi B et al. Making the diagnosis of biliary atresia using the triangular cord sign and gallbladder length. Pediatr Radiol 2000; 30 (2): 69–73.
8. Gupta N, Javed A, Puris S et al. Imaging of multiple intrahepatic cysts. Oman Med J 2012; 27 (5): 421–3.
9. Todani T, Watanabe Y, Narusue M et al. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases. Am J Surg 1977; 143 (2): 263–9.
10. McHugh K, Daneman A. Multiple gastrointestinal atresias: sonography of associated biliary abnormalities. Pediatr Radiol 1991; 21: 355–7.
11. Senyuz O, Yesildag E, Kuruoglu S et al. Caroli’s disease in children: is it common misdiagnosed? Acta Paediatr 2005; 94 (1): 117–20.
12. Zissimopoulus A, Cassimos D, Deftereous S et al. Hepatobiliary scan in Alagille syndrome: arteriohepatic dysplasia. Hell J Nucl Med 2009; 12 (2): 158–60.
13. Kasai M, Suzuki H, Ohashi E et al. Technique and results of operative management of biliary atresia. World J Surg 1978; 2 (5): 571–9.
14. Bezerra J, Balistreri W. Cholestatic syndromes of infancy and childhood. Semin Gastrointest Dis 2001; 12 (2): 54–65.
15. Dubois J, Garel L, Patriquin H et al. Imaging features of type 1 hereditary tyrosinemia: a review of 30 patients. Pediatr Radiol 1996; 26 (12): 845–51.
16. Ozcan N, Oguz B, Hallilooglu M et al. Imaging patterns of fatty liver in pediatric patients. Diagn Intervent Radiol 2014; 21 (4): 355–60.
17. Aubin B, Denys A, Lafortune M et al. Focal sparing of liver parenchyma in steatosis: role of the gallbladder and its vessels. J Ultrasound Med 1995; 14 (2): 77–80.
18. Dachman A, Pakter R, Ros P et al. Hepatoblastoma: radiologic-pathologic correlation in 50 cases. Radiology 1987; 164 (1): 15–9.
19. Campenhout Van I, Patriquin H. Malignant microvasculature in abdominal tumors in children: detection with Doppler sonography. Radiology 1992; 183 (2): 445–8.
20. Meyers R. Tumors of the liver in children. Surg Oncol 2007; 16 (3): 195–203.
21. Fernandes-Pinedal I, Cabello-Laureano R. Differential diagnosis and management of liver tumors in infants. World J Hepatol 2014; 6 (7): 486–95.
22. Isaacs Jr. Fetal and neonatal hepatic tumors. J Pediatr Surg 2007; 42 (11): 1797–803.
23. Kassarjian A, Zurakowsky D, Dubois J et al. Infantile hepatic hemangiomas: clinical and imaging findings and the correlation with therapy. AJR 2004; 182 (3): 785–95.
24. Dachman A, Lichtenstein J, Friedman A, Hartman D. Infantile hemangioendothelioma of the liver: a radiologic-pathologic-clinical correlation. Am J Roentgenol 1983; 140 (6): 1091–6.
25. Cavalli R, Novotna V, Boffun R, Gelletti C. Multiple cutaneous and hepatic infantile hemangiomas having a successful respons to propronalole as monotherapy at neonatal period. G. Ital Dermatol Venerol 2013; 148 (5): 525–30.
26. Ross P, Goodman Z, Ishak K et al. Mesenchymal hamartoma of the liver: radiologic-pathologic correlation. Radiology 1986; 158 (3): 619–24.
27. Salahi R, Dehghani S, Salahi S et al. Liver abscesses in children: a 10-ear single centre experience. Saudi J Gastroenterol 2011; 17 (3): 199–202.
28. Stanley S. Amoebiasis. Lancet 2003; 361 (9362): 1025–34.
29. Czermak B, Akhan O, Hiemetzberger R et al. Echinococcus of the liver. Abdominal Imaging 2008; 33 (2): 133–43.
30. Macpherson C, Bartholomot B, Frider B. Application of ultrasound in diagnosis, treatment, epidemiology, public health and control of Echinococcus granulosis and E. multilocularis. Parasitology 2007; 127 (Suppl.): S21–35.
Авторы
В.М.Делягин*1, А.Уразбагамбетов1, И.В.Мельникова2
1 ФГБУ Федеральный научно-клинический центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачева Минздрава России. 117997, Россия, Москва, ул. Саморы Машела, д. 1;
2 ГУЗ Тульская областная детская клиническая больница. 300010, Россия, Тула, ул. Бондаренко, д. 39
*delyagin-doktor@yandex.ru
1 ФГБУ Федеральный научно-клинический центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачева Минздрава России. 117997, Россия, Москва, ул. Саморы Машела, д. 1;
2 ГУЗ Тульская областная детская клиническая больница. 300010, Россия, Тула, ул. Бондаренко, д. 39
*delyagin-doktor@yandex.ru
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V.M.Delyagin*1, A.Urazbagambetov1, I.V.Melnikova2
1 Dmitriy Rogachev Federal Research Center of Pediatric Hematology, Oncology and Immunology of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Samory Mashela, d. 1;
2 Tula Regional Children Clinical Hospital. 300010, Russian Federation, Tula, ul. Bondarenko, d. 39
*delyagin-doktor@yandex.ru
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