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肠道心痛的:解开腹干狭窄症的团
Abeer Qasim1, Venkata Sri Ramani Peesapati1, Jay Patel1
1Internal Medicine, BronxCare Health System, New York, USA.
Cureus
|July 13, 2023
概括
腹腔动脉压缩综合征是一种罕见的腹痛原因,涉及腹腔动脉的狭窄. 这一案例突出了一个67岁的女性,患有严重的狭窄,经过保守的管理.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 胆固醇动脉压缩综合征 (CACS) 是由于胆固醇动脉狭窄而导致的慢性腹痛的特征,常见于中年女性.
- 病因包括动脉样硬化,中间弧形带综合征,胰腺炎和瘤入侵,导致症状如食后腹膜疼痛,体重减轻和恶心.
- 附带循环往往会延迟CACS患者的症状发作.
研究的目的:
- 呈现严重的乳干狭窄病例,呈现为腹部心痛.
- 为了说明CACS的诊断过程和保守的管理.
主要方法:
- 一名67岁的女性出现了模仿小肠阻塞的症状.
- 脑电图扫描显示了严重的乳干狭窄,表明腹部心痛.
- 患者经过保守的管理,并进行密切的随访.
主要成果:
- 患者的症状,最初暗示小肠阻塞,被归因于严重的乳干狭窄症.
- 保守的治疗导致了积极的反应和症状的改善.
- 这一案例强调了在患有持续腹痛的患者中考虑CACS的重要性.
结论:
- 乳动脉狭窄可以呈现异常,模仿其他胃肠道疾病.
- 保守的管理可以有效的治疗胆固醇动脉压缩综合征.
- 通过成像即时诊断对于适当的患者护理至关重要.
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