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揭示了不常见的情况:上层中枢动脉综合征呈现为胃炎
Noman Salih1, Khalid S Baig1, Izhar Ullah1
1Internal Medicine, Hayatabad Medical Complex, Peshawar, PAK.
Cureus
|July 24, 2023
概括
上半腹腔动脉综合征 (SMAS) 是一种罕见的十二指肠阻塞,由动脉压缩引起. 这一案例突显了SMAS诊断在一个含糊症状的妇女,导致有效的治疗.
科学领域:
- 胃肠病学 胃肠病学
- 腹部成像 腹部成像 腹部成像
- 血管外科 血管外科
背景情况:
- 上层半肠动脉综合征 (SMAS) 是一种罕见的疾病,导致十二指肠阻塞.
- 它是由于上层介质动脉和大动脉之间的十二指肠的压缩造成的,通常是由于介质脂肪耗尽.
- 模糊的胃肠道症状可能会推迟诊断.
研究的目的:
- 报告SMAS病例呈现异常症状.
- 为了说明SMAS的诊断过程.
- 突出SMAS与侵蚀性胃炎和远端十二指肠阻塞的关联.
主要方法:
- 一个36岁的女性的临床表现,患有食后疼痛,体重减轻和血凝.
- 针对慢性胰腺炎,乳病和肠结核的初步调查结果是负面的.
- 消化管胃管腺镜 (EGD) 揭示了侵蚀性胃炎和腹腔炎症.
- 计算机断层扫描 (CT) 扫描证实了SMAS.
主要成果:
- 患者对常见的胃肠道疾病的初步检查结果是不确定的.
- EGD发现了侵蚀性胃炎和腹炎症的二次发现.
- CT成像对于诊断SMAS至关重要,因为它揭示了血管压缩后的十二指肠阻塞.
结论:
- SMAS可能会出现模仿其他胃肠道疾病的非特异性症状.
- 怀疑的高指数和像CT这样的先进成像对于诊断SMAS至关重要.
- 这一案例强调了在患有不明原因上部胃肠道问题和相关胃炎的患者中考虑SMAS的重要性.
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