通过动脉化学栓塞诱导的缺血性结肠炎:由于非目标栓塞而导致的罕见并发症
Jonathan Selzman1, Mahesh Gajendran2, Bara El Kurdi2
1Department of Internal Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX.
ACG case reports journal
|September 27, 2023
概括
肝癌的跨动脉化血栓化 (TACE) 期间的非目标栓塞可以导致意外的缺血症. 这个病例显示TACE诱导的缺血性结肠炎由于异常的右肝动脉解剖学,强调成像的重要性.
科学领域:
- 干预性放射学 干预性放射学
- 肝胆道医学 肝胆道医学
- 胃肠道瘤学 胃肠道瘤学
背景情况:
- 跨动脉化学栓塞 (TACE) 是肝细胞癌 (HCC) 的首要局部治疗方法.
- 非目标栓塞是一种罕见但严重的TACE并发症,可能导致意想不到的器官缺血.
- 肝动脉供应的解剖学变化可能会使患者倾向于非目标栓塞.
研究的目的:
- 在TACE中报告一个非目标栓塞导致缺血性结肠炎的病例,用于HCC.
- 强调识别与TACE相关的罕见并发症的重要性.
- 突出了手术前成像在识别解剖变异的关键作用,以防止不良结果.
主要方法:
- 一个案例研究描述了一个患者在TACE治疗HCC后发展出缺血性结肠炎.
- 审查患者的动脉解剖学和TACE程序.
- 在这个特定情况下讨论非目标栓塞的机制.
主要成果:
- 患者在TACE期间经历了非标栓塞的二次性缺血性结肠炎.
- 这种并发症归因于右肝动脉的异常起源.
- 这种解剖学变异导致了结肠血管系统的意外栓塞.
结论:
- 非目标栓塞是一种罕见的TACE并发症,可能导致显著的发病率,如缺血性结肠炎.
- 术前成像对于检测增加非目标栓塞风险的动脉变异至关重要.
- 仔细的程序规划和对潜在并发症的认识对于改善TACE患者的治疗结果至关重要.
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