尚未解决的慢性腹:一种由 ангиотензин转化酶抑制剂诱导的介肠血管的病例
Aastha Bharwad1, Chelsea Wuthnow1, Mahmoud Mahdi1
1Department of Internal Medicine, University of Kansas School of Medicine-Wichita, Kansas City, MO, USA.
European journal of case reports in internal medicine
|August 9, 2023
概括
血管激素转化酶抑制剂 (ACEI) 诱导的内脏血管发症很少见,并且由于各种症状,难以诊断. 识别CT扫描指标和中止ACEI可以导致症状迅速消失.
科学领域:
- 胃肠病学 胃肠病学
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- ангиотензин转化酶抑制剂 (ACEI) 广泛用于心血管和脏疾病.
- 由ACEI诱导的内脏动脉瘤是一种不常见的不良反应,具有诊断挑战.
- 症状往往是非特异性的,导致诊断延迟或错过.
研究的目的:
- 为了突出ACEI诱导的内脏血管的诊断挑战.
- 审查关键的CT成像发现,暗示这种情况.
- 强调在差异诊断中考虑ACEI诱导的血管的重要性.
主要方法:
- 对临床表现和诊断指标的审查.
- 对CT扫描结果的分析,包括"目标"标志,肠环延长,半肠,血管变化等.
- 一个白人男性的病例介绍,诊断迟到.
主要成果:
- 关键的CT发现包括"目标"标志,延长的肠环,扩大的介质血管,介质,加厚的.
- 显著的是,CT上没有血管损伤或腺病变.
- 停用ACEI通常会在48小时内缓解症状.
结论:
- 由于ACEI诱导的内脏性血管发病不常见,经常被忽视,并且由于非特异性症状而具有诊断挑战性.
- 虽然这种情况在女性和非洲裔美国人中更常见,但必须在所有人口群体中考虑这种情况.
- 在差异诊断中包括ACEI诱导的血管可以防止不必要的调查和程序.
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