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一例慢性中腔动脉缺血,原因是腹腔动脉和中腔动脉血栓症
Dua A Malik1, Teena Thomas2, Mansoor Zafar3
1Medicine, Conquest Hospital, East Sussex Healthcare NHS Trust, St. Leonards-on-Sea, GBR.
慢性介质缺血 (CMI) 是一种罕见的疾病,表现为模糊的症状. 早期诊断和内血管再血管化对于管理这种复杂的胃肠道疾病至关重要.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 慢性中肠缺血症 (CMI) 是一种罕见的血管疾病,影响胃肠道,仅占肠道缺血病例的5%.
- 由于非特异性症状,CMI诊断具有挑战性,需要高怀疑指数,特别是在老年患者中.
- 有效的管理需要多学科的方法,包括血管外科医生,胃肠科医生和放射科医生.
研究的目的:
- 在一位老年女性患者中呈现慢性中肠缺血病 (CMI) 的情况.
- 强调CMI出现食后腹痛和减肥的诊断考虑因素.
- 突出高级成像和内血管干预在管理CMI中的作用.
主要方法:
- 一个66岁的女性的病例报告,症状包括食后腹痛,吐,细胞恐惧症和体重减轻.
- 最初的调查包括炎症标志物,平面膜X射线和内镜,但没有显著发现.
- 通过CT血管图证实了诊断,显示了腹腔动脉和中腹腔动脉血栓形成.
主要成果:
- 电脑图像扫描 (CT angiogram) 检测出腹腔动脉和中腔动脉的血栓形成,证实了CMI的诊断.
- 患者经历了成功的内血管再血管化.
- 患者的症状在干预后得到改善.
结论:
- 应考虑在老年患者呈现不明原因的食后腹痛和体重减轻的CMI,特别是那些有血管风险因素的老年患者.
- 通过适当的成像,如CT血管造影,早期诊断对于有效的管理至关重要.
- 及时的内血管再血管化为患有CMI的患者提供了有利的预后.
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