巴综合征 - 病例报告
Sarah Maria Lemos de Campos1, Rafael Prado Pessoa1, João Paulo de Araújo Pelegrini1
1Hospital Mater Dei Unidade Santo Agostinho, Belo Horizonte, MG, Brasil.
Jornal vascular brasileiro
|August 14, 2023
概括
巴综合征是一种罕见的腹部疼痛原因,在患有乳干狭窄症的患者身上被诊断出. 弓形带的手术减压缓解了患者的症状.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 巴综合征涉及动脉被弧形带压缩,导致腹部疼痛.
- 诊断可能具有挑战性,通常需要排除其他疾病和先进的成像.
- 手术治疗的目的是释放压缩的干.
研究的目的:
- 报告一例巴综合征病例,该病例表现为异常症状和初步诊断挑战.
- 为了突出连续成像在诊断腹腔动脉压缩中的重要性.
- 为了证明成功的手术治疗巴综合征.
主要方法:
- 一名45岁的男性出现了辐射到背部的腹上疼痛.
- 最初的CT显示了乳干和中枢动脉狭窄;治疗疼痛的手术干预是非特异性的.
- 序列血管断层检查发现弧形带加厚,压缩着乳干 (80%的狭窄).
主要成果:
- 弧形带的腹腔镜划分成功缓解了腹干的压缩.
- 患者经历了令人满意的术后康复.
- 这一案例强调了连续血管断层扫描在疑似巴综合征的诊断效用.
结论:
- 在患有不明原因的腹痛和疑似腹动脉压缩的患者中,应考虑考虑巴综合征.
- 弧形带释放是一种有效的治疗症状性腹动脉压缩.
- 多模式成像,包括串行血管断层扫描,对于准确的诊断至关重要.
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