与免疫球蛋白G4相关的肝动脉动脉瘤
Kentaro Kasa1, Takao Ohki1, Eisaku Ito1
1Division of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Journal of vascular surgery cases and innovative techniques
|December 22, 2023
概括
一名49岁的男性有心血管疾病史,被诊断患有大肝动脉动脉瘤. 手术修复成功,病理学发现它与免疫球蛋白G4 (IgG4) 疾病有关.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
背景情况:
- 肝动脉动脉瘤是一种罕见但严重的血管疾病.
- 与免疫球蛋白G4 (IgG4) 相关的疾病是一种全身性纤维炎症状况,可以影响各种器官.
研究的目的:
- 报告患有心血管风险因素的大型肝动脉动脉瘤的病例.
- 要突出动脉瘤与免疫球蛋白G4 (IgG4) 相关疾病的关联,尽管血清IgG4水平正常.
主要方法:
- 一名49岁的男性吸烟者患有高血压,脂质失调和冠状动脉疾病,出现腹部和背部疼痛.
- 用对比增强的计算机断层扫描 (CT) 检测出一个30毫米的肝动脉动脉瘤.
- 进行了动脉瘤的手术切除,并进行了自身静脉旁路移植.
主要成果:
- 手术干预是成功的,没有术后并发症.
- 病理学检查证实动脉瘤与免疫球蛋白G4 (IgG4) 有关.
- 患者的血清IgG4水平处于正常范围内,没有发现其他IgG4相关的器官损伤.
结论:
- 肝动脉动脉瘤可能与免疫球蛋白G4 (IgG4) 相关的疾病有关,即使血清IgG4水平正常.
- 肝动脉动脉瘤的手术治疗是有效的.
- 这一案例强调了在肝动脉动脉瘤的差异诊断中考虑IgG4相关疾病的重要性.
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