在冠状动脉血管学之后的对比诱导性缺血性结肠炎:一个病例报告
1Department of Cardiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
World journal of clinical cases
|August 16, 2023
概括
对比诱导性缺血性结肠炎 (IC) 是心血管手术后的一种罕见并发症. 这一案例凸显了考虑IC在无法解释的腹痛中对比剂后给药的重要性,以迅速诊断和改善患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 缺血性结肠炎 (IC) 是一种患病率不断增加和死亡率高的疾病.
- IC呈现的严重程度和治疗方法各不相同,对比引起的病例很少见.
- 常见的原因包括血栓栓塞,血液动力学问题和药物反应.
研究的目的:
- 报告一种罕见的对比诱导性缺血性结肠炎病例.
- 突出对比介质程序后腹痛的诊断考虑因素.
主要方法:
- 一名52岁的男性呈现了冠状动脉血管造影后带有的对比的表胃疼痛.
- 腹部CT扫描显示结肠壁加厚和炎症,不包括中腔血栓.
- 患者接受了抗生素和支持性护理,导致迅速康复.
主要成果:
- 对比剂诱导的缺血性结肠炎在一个在使用对比剂后出现腹痛的患者身上被诊断出.
- 计算机断层扫描 (CT) 图像对诊断至关重要,显示了特征性的结肠变化.
- 患者经历了保守管理的完全康复.
结论:
- 在涉及对比介质的程序后,应考虑对比诱导的IC在腹痛的差异诊断中.
- 通过成像,如CT等早期诊断对于改善患者预后至关重要.
- 这一案例强调了临床医生对这种罕见并发症的认识的必要性.
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