分段性动脉中解与破裂的内脏动脉连续两天
Chikao Ito1, Tomohide Koyama1, Daisuke Fujimori1
1Department of Emergency Medicine Asahi General Hospital Chiba Japan.
Acute medicine & surgery
|October 10, 2023
概括
分段性动脉中解可以导致难以预测的动脉破裂. 这一案例凸显了从这种情况管理腹腔内出血的挑战,建议集中治疗破裂的血管.
科学领域:
- 血管医学 血管医学
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
背景情况:
- 分段性动脉中间溶解 (SAM) 是一种罕见的血管疾病.
- 它可以导致动脉解剖和破裂.
研究的目的:
- 报告SAM中一次性动脉破裂的独特案例.
- 讨论SAM中腹腔内出血的管理策略.
主要方法:
- 一个69岁的男性患有腹部疼痛和休克的病例报告.
- 诊断成像包括计算机断层扫描 (CT) 和血管造影.
- 干预涉及紧急线圈栓塞.干预包括紧急线圈栓塞.
主要成果:
- 患者在连续几天经历了两个单独的腹内出血.
- 扫描显示了胃壁血瘤和巨大的腹内出血.
- 血管造影发现了与SAM一致的不规则血管扩张病变.
结论:
- 在SAM中预测随后的动脉破裂是具有挑战性的.
- 管理可能包括只治疗破裂的动脉瘤,并监测未破裂的动脉瘤.
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