一个患有脊椎静脉环的患者的双重破核子综合征:一个罕见的病例报告
Renato Farina1, Pietro Valerio Foti1, Lorena Nicolosi1
1Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, Catania, Italy.
Journal of ultrasonography
|July 31, 2023
概括
这项研究详细介绍了一种罕见的破子综合征 (NCS) 病例,该病例是由左静脉的联合压缩引起的. 通过成像进行早期诊断对于这种鲜为人知的疾病至关重要.
科学领域:
- 医学 医学 医学 医学 医学
- 放射学 放射学是一门学科.
- 血管外科 血管外科
背景情况:
- 裂坚果综合征 (NCS) 是一种罕见的血管疾病,其特征是左静脉的压缩.
- 由于非特异性症状和对疾病的理解有限,诊断往往会延迟.
- 左静脉的联合前和后压缩是一种非常罕见的表现.
研究的目的:
- 描述一种罕见的破子综合征 (NCS) 病例,该病例是由于前和后左静脉的联合压缩造成的.
- 突出计算机断层扫描和多普勒超声波在识别复杂NCS的诊断实用性.
- 强调增加病例报告的重要性,以提高诊断准确性和减少虚假阴性.
主要方法:
- 一个42岁的妇女的详细病例报告,呈现出微血和左侧疼痛.
- 利用计算机断层扫描 (CT) 和多普勒超声波用于成像和诊断.
- 分析了解剖学发现,包括aortomesenteric和aortovertebral空间缩小,导致静脉压缩.
主要成果:
- 患者出现了微血和左侧疼痛的经典症状.
- 图像检测显示了一种罕见的解剖变体,左静脉的前动脉和后动脉.
- 确认左静脉在主动脉中枢和主动脉脊椎空间的压缩,表明结合NCS.
结论:
- 结合的前风脉和后风脉左静脉压缩代表了破子综合征的极其罕见病因.
- 多式成像,特别是CT和多普勒超声波,对于准确诊断和NCS的分类至关重要.
- 提高对这种罕见病例的认识和报告对于提高诊断能力和尽量减少误诊至关重要.
更多相关视频
08:27Adult Mouse Venous Hypertension Model: Common Carotid Artery to External Jugular Vein Anastomosis.
Published on: January 27, 2015
14.2K
09:24O-Ring Aortic Banding Versus Traditional Transverse Aortic Constriction for Modeling Pressure Overload-Induced Cardiac Hypertrophy
Published on: October 6, 2022
3.5K
相关概念视频
01:27Assessment of the Cardiovascular System III: Palpation
380
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
380
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
14
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
14
01:29Assessment of the Cardiovascular System II: Inspection
288
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
288
01:19Mitral Valve Prolapse III: Nursing Management
16
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
16
01:17Aortic Regurgitation IV: Nursing Management
31
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
31
01:30Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14