由一个常被忽视的异常引起的动脉胸部出口综合征,宫肋骨:一个病例报告
Farhad Farzam1,2, Yama Barakzai1, Naqibullah Foladi2
1Radiology Department, Kabul University of Medical Sciences, Kabul, Afghanistan.
Radiology case reports
|July 28, 2023
概括
动脉胸部出口综合征 (TOS) 是一种罕见的疾病,导致手臂疼痛,在一个患有双侧椎肋骨的患者身上被诊断出. 图像检查显示了关节下动脉伪动脉瘤和关节动脉血栓栓塞,突出显示了TOS并发症.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 人体解剖学 解剖学 解剖学
背景情况:
- 胸腔出口综合征 (TOS) 涉及到胸腔出口中的神经血管压缩.
- 动脉TOS是最罕见的表现,往往导致严重的并发症.
- 宫肋骨是一种与TOS相关的常见解剖异常.
研究的目的:
- 报告一种罕见的动脉胸部出口综合征病例.
- 为了说明CT血管学在识别TOS相关的血管并发症方面的诊断效用.
- 强调认识到动脉TOS及其潜在后果的重要性.
主要方法:
- 一名32岁的男性患者出现了严重的右臂疼痛.
- 进行CT血管造影以评估神经血管结构.
- 图像分析专注于识别解剖异常和血管病变.
主要成果:
- 确定了双边的宫肋骨,与第一个胸前肋骨的右侧融合更为突出.
- 在融合部位检测到右下关节动脉的伪动脉瘤.
- 在右臂动脉中观察到急性血栓栓塞.
结论:
- 动脉胸腔出口综合征虽然很少见,但可以导致严重的血管并发症,如伪动脉瘤和血栓栓塞.
- 截面成像,特别是CT血管造影,对于诊断TOS及其特定亚型至关重要.
- 对TOS变体和诊断成像方式的认识对于有效的患者管理至关重要.
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