创伤诱导的中间弧形带综合症是慢性腹痛的一个未被认可的来源
Suzanna Fitzpatrick1, Eleanor Dunlap2, Khanjan Nagarsheth1
1University of Maryland School of Medicine, Baltimore, MD, USA.
The American surgeon
|June 1, 2023
概括
中间弧形带综合征 (MALS) 是导致腹部疼痛的原因,可在创伤后出现. 这项研究介绍了四起创伤导致MALS的病例,需要进行手术以缓解疼痛.
科学领域:
- 这是血管外科手术.
- 胃肠病学 胃肠病学
- 人体解剖学 解剖学 解剖学
背景情况:
- 中间弧形带综合征 (MALS) 导致腹膜疼痛,恶心和体重减轻,原因是腹膜动脉的压缩.
- 症状可能是模糊的,导致诊断挑战和延迟.
- 马尔斯通常被认为是一种解剖学变异,而不是创伤引起的.
研究的目的:
- 调查腹部或脊柱创伤与MALS发展之间的潜在联系.
- 介绍创伤后发生的MALS病例及其管理.
主要方法:
- 四名患有MALS的患者的病例系列介绍.
- 对诊断成像 (双重成像,血管造影) 和手术结果的审查.
主要成果:
- 四名患者在腹部或脊髓创伤后发展出MALS.
- 所有患者都经历了生活方式限制的疼痛,需要进行手术治疗.
- 这表明创伤和MALS之间存在潜在的因果关系.
结论:
- 创伤可能是中枢弧形带综合征的一个未被识别的原因.
- 手术干预有效缓解创伤引起的MALS的疼痛.
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