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在一个患有结核性硬化综合症的儿科死者的腹腔大动脉动脉瘤的尸检案例
1From the Department of Pathology and Microbiology, Nebraska Medical Center, University of Nebraska Medical Center.
The American journal of forensic medicine and pathology
|July 24, 2023
概括
破裂的腹腔大动脉动脉瘤在婴儿中很罕见. 这一案例凸显了对患有结核性硬化综合体 (TSC) 的儿科患者进行血管疾病查的重要性.
科学领域:
- 血管医学 血管医学
- 儿童心脏病学 儿童心脏病学
- 遗传学 遗传学 是一个
背景情况:
- 结核性硬化综合体 (TSC) 是一种遗传性疾病.
- 血管异常在儿科TSC患者中不常见.
- 无症状的血管问题存在破裂风险.
研究的目的:
- 在患有结核性硬化综合症的婴儿中报告一种罕见的腹腔大动脉动脉瘤破裂病例.
- 强调在患有TSC的儿科患者中查动脉瘤疾病的重要性.
- 为了突出一个罕见的差异诊断 retroperitoneal 流血在婴儿.
主要方法:
- 一个11个月大的TSC患者的病例报告.
- 尸体解剖结果显示,腹腔大动脉动脉瘤破裂和广泛的逆上垂出血.
- 对儿科TSC血管并发症现有文献的综述.
主要成果:
- 一个未被识别的腹腔大动脉动脉瘤在一个11个月大的TSC患者中被发现.
- 破裂导致了广泛的逆前出血.
- 这一病例代表了儿童TSC患者中AAA极为罕见的呈现.
结论:
- 破裂的腹腔大动脉动脉瘤是患有结核性硬化综合症的儿科患者的罕见但关键的血管并发症.
- 在被诊断患有TSC的婴儿和儿童中,对动脉瘤疾病的常规查至关重要.
- 婴儿的逆皮质出血可以模仿非意外的创伤,需要彻底调查.
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