Diagnosis and differential diagnosis of space-occupying lesions below the diaphragm
10.3321/j.issn:1673-4254.2000.06.023
- VernacularTitle:膈下占位性病变鉴别与诊断
- Author:
Jie ZHOU
1
;
Chao-Long LI
;
Xiang-Zhi LÜ
;
Zheng-Duan ZHOU
Author Information
1. 第一军医大学附属第一医院(南方医院)
- Keywords:
diaphragm;
space-occupying;
differential diagnosis
- From:
Journal of Southern Medical University
2000;20(6):545-547
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the diagnosis and treatment of the space-occupying lesions below the diaphragm. Method Thirteen cases of space-occupying lesions below the diaphragm in recent 5 years were reviewed, the initial diagnosis of which failed to be conclusive. Results Ultrasonic and CT scan showed huge masses below the diaphragm in all cases. These space-occupying lesions were found in the liver in 6 cases, and in other cases, the stomach, spleen, pancreas and lesser omentum were involved. Three cases were diagnosed preoperatively，9 cases during the operation, and 1 case had a post-operative diagnosis by pathological examination. Misdiagnosis occurred in 2 cases. Conclusions Diagnosis and differential diagnosis of space-occupying lesions below the diaphragm need detailed medical history and systemic physical examination. Digital subtracted angiography may help in establish the diagnosis, and video-laparoscopic may help in designing surgical approach and making choice of incision.
