由于内脏动脉封闭的缺血性肝炎:一个病例报告
Safwan Omran1, Andreas Greiner1
1Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Vascular Surgery, Hindenburgdamm 30, 12203 Berlin, Germany.
Journal of surgical case reports
|December 19, 2023
概括
造成缺血性肝炎的中腔动脉封闭是罕见的,由于附带循环. 这一案例突显了这种情况的成功手术重建.
科学领域:
- 血管外科 血管外科
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
背景情况:
- 在中腔动脉封闭后的缺血性肝炎异常罕见.
- 腹腔介质动脉系统中的附带网络和门静脉流通常会防止这种缺血.
- 一名64岁的男性出现了严重的腹痛,全身衰退和显著的体重减轻.
研究的目的:
- 报告一种罕见的缺血性肝炎病例.
- 描述干和上半导体动脉封闭的诊断发现.
- 介绍内脏动脉重建的手术管理和结果.
主要方法:
- 计算机断层扫描 (CT) 扫描用于诊断动脉封闭和肝脏病变.
- 外科干预涉及前期内脏重建的手术.
- 使用分叉的达克隆移植用于上大动脉到上介质动脉和腹腔动脉绕道.
主要成果:
- 电图扫描证实了乳干和上半导体动脉的封闭.
- 在肝脏中观察到表明肝脏缺血的下垂病变.
- 患者通过达克隆移植成功进行了动脉重建.
- 手术后的康复和随访没有任何事件.
结论:
- 中腔动脉封闭可能导致缺血性肝炎,虽然很少见.
- 内脏动脉的手术重建是一种可行的治疗选择.
- 在这种情况下,迅速诊断和干预对于有利的结果至关重要.
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