在一个48岁的肥胖女性中保守治疗的中腹静脉血栓:一个病例报告
Rita Fernandes1, Estefania Curralo2, Silvia Cunha2
1General Practice, Unidade Local de Saúde (ULS) do Alto Minho, Viana do Castelo, PRT.
Cureus
|December 7, 2023
概括
中腹静脉血栓症 (MVT) 是一种罕见的疾病,影响肠道血液流动. 早期诊断和抗凝药对患者的治疗结果至关重要.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 中腹静脉血栓症 (MVT) 是一种罕见的疾病,导致肠静脉回归妥协,通常涉及上腹静脉.
- 由于体检结果与患者症状不成比例,诊断可能具有挑战性.
- 肥胖是MVT的一个重要风险因素.
研究的目的:
- 报告一个下层中枢静脉血栓瘤 (IMVT) 的病例.
- 要突出诊断挑战和管理的MVT.
- 强调早期识别和干预MVP的重要性.
主要方法:
- 一个48岁的女性出现腹痛的案例研究.
- 诊断工作包括体检和腹部/骨盆CT扫描.
- 治疗包括使用华法林终身抗凝药.
主要成果:
- 脑电图扫描显示了完整的下半腹静脉血栓,并延伸到上半腹静脉和门静脉.
- 肥胖被确定为唯一的危险因素.
- 患者在长期抗凝剂治疗中保持无症状,没有复发性血栓事件.
结论:
- 中腹静脉血栓形成需要高度的临床怀疑,特别是当症状与身体发现不成比例时.
- 通过成像和早期抗凝治疗即时诊断对于管理MVT至关重要.
- 对于及时干预和改善预后,临床医生对识别MVT症状的教育至关重要.
相关概念视频
01:28Esophageal Varices-II: Clinical Features and Management
72
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...
72
01:24Esophageal Varices-I: Introduction
150
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
150