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Multimodality Diagnosis of Mesenteric Ischemia
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一个8岁男孩的上层中枢动脉综合征:一个案例报告
Ayah Aldagher1, Rodaina Almasri2, Jaber Mahmoud2
1Faculty of Medicine, Damascus University, Damascus, Syria. ayaaldagher20@gmail.com.
Journal of medical case reports
|August 11, 2023
概括
上层介质动脉综合征 (SMAS),或威尔基综合征,导致肠道阻塞. 早期诊断和手术干预对于受影响患者的成功治疗和症状缓解至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 儿科手术 儿科手术
- 血管外科 血管外科
背景情况:
- 上层介质动脉综合征 (SMAS),也称为威尔基综合征,是一种罕见的疾病,导致肠道阻塞.
- 它影响十二指肠的第三部分,位于腹腔大动脉和上层中枢动脉之间.
- 发病率在0.013%至0.3%之间.
研究的目的:
- 介绍一个诊断为SMAS的儿科患者的案例研究.
- 突出SMAS的诊断挑战和成功的手术管理.
- 强调在无法解释的慢性腹痛和吐的情况下考虑SMAS的重要性.
主要方法:
- 一个8岁的男性患者的病例报告,患有慢性腹痛和吐.
- 审查之前的错误诊断,包括尾炎和带.
- 对于SMAS的手术干预和随后的随访.
主要成果:
- 在接受准确的SMAS诊断之前,患者经历了长时间的症状.
- 成功的手术导致症状完全消失.
- 患者在3个月的随访期间保持无症状.
结论:
- 当患者出现慢性腹痛和吐,并排除常见差异诊断时,应考虑SMAS.
- 及时诊断和手术治疗对于管理SMAS至关重要.
- 这一案例强调了在患有持续性胃肠道症状的儿科患者中识别SMAS的重要性.
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