在短时间内连续的多次内脏动脉剖析,没有大动脉剖析
Hiroki Uehara1, Masaki Okuyama1, Yutaro Oe1
1Department of Cardiovascular Medicine, Kin-ikyo Chuo Hospital, Sapporo, Hokkaido, Japan.
Annals of vascular diseases
|October 2, 2023
概括
一名65岁的男子经历了多次动脉剖析,包括下半肠动脉,左脏动脉和上半肠动脉. 保守治疗导致症状改善和出院.
科学领域:
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
- 内部医学 内部医学
背景情况:
- 动脉剖析是一种严重的疾病,影响血管.
- 多重自发动脉解剖是罕见的,特别是在没有潜在的大动脉疾病的情况下.
研究的目的:
- 报告一种罕见的自发多重动脉剖析病例.
- 在这种情况下,要突出诊断和管理方法.
主要方法:
- 一个65岁的日本男子出现腹部疼痛的病例报告.
- 通过对比增强计算机断层扫描 (CT) 扫描确认了诊断.
- 采用保守的管理策略.
主要成果:
- 最初的CT检查显示了下半肠和左动脉的剖析.
- 随后的上层中枢动脉剖析被确定.
- 随着保守的治疗,患者的症状有所改善.
结论:
- 自发的多重动脉剖析可以在没有大动脉剖析的情况下发生.
- 在某些特定情况下,保守的管理可能是有效的.
- 多检测器CT对于诊断至关重要.
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