在COVID-19感染后出现Budd-Chiari综合征:一个病例报告
Seri S Sawaqed1, Heba M Urabi2, Mohammad H Al-Thnaibat1
1Faculty of Medicine, Hashemite University, Zarqa.
Annals of medicine and surgery (2012)
|September 4, 2023
概括
冠状病毒疾病2019 (COVID-19) 可能会增加由于炎症和凝血而导致Budd-Chiari综合征 (BCS) 的风险. 早期检测COVID-19后的肝缩和腹部膨胀对于及时的BCS管理至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 血管医学 血管医学
- 传染性疾病 传染性疾病
背景情况:
- 布德-奇亚里综合征 (BCS) 是一种罕见的肝静脉阻塞.
- 冠状病毒疾病2019 (COVID-19) 与高凝血和炎症有关.
- COVID-19可能会在易受感染的个体中加速BCS的发展.
研究的目的:
- 在COVID-19感染后报告BCS病例.
- 在此背景下突出BCS的临床表现和管理.
- 强调COVID-19后早期BCS检测的重要性.
主要方法:
- 一个43岁的女性患者的病例报告.
- 临床检查,实验室检查和三相肝脏计算机断层扫描与对比.
- 开始抗凝药治疗 (低分子量肝素,然后华法林) 和支持性护理.
主要成果:
- 布德-奇亚里综合征的诊断得到证实.
- 患者经历了抗凝剂治疗和支持性治疗的临床改善.
- 通过抗凝血药物和住院治疗成功管理3周.
结论:
- 在COVID-19感染后发生的肝炎缩和腹部膨胀值得怀疑BCS.
- 及时诊断和管理BCS对于有利的结果至关重要.
- 与COVID-19相关的凝血病可能会导致BCS病变.
相关概念视频
Chronic Bowel Disorders: Introduction
485
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
485
Chronic Pancreatitis II: Collaborative Care
113
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
113
Diseases of the Liver and Gallbladder
622
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
622
Esophageal Varices-II: Clinical Features and Management
94
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
94
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10
Acute Pancreatitis II: Clinical Manifestations and Management
148
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
148


