介质静脉的异常肌质极致增生:使用CT血管造影进行放射性评估
Fumio Morimura1, Hiromi Edo1, Takafumi Niwa1
1Department of Radiology, National Defense Medical College, Saitama 3598513, Japan.
BJR case reports
|February 14, 2024
概括
介质静脉的异常肌质极致增生 (IMHMV) 可以导致由于静脉阻塞导致的肠道缺血症. CT血管造影对于诊断这种状况至关重要,其特征是状的下半肠静脉和动脉静脉.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 介质静脉的异形肌极度增生 (IMHMV) 是导致肠道缺血的非血栓性静脉阻塞的罕见原因.
- 诊断通常依赖于临床表现,成像和手术发现的结合.
研究的目的:
- 要突出IMHMV在CT和CT血管学上的特征性成像发现.
- 强调CT血管学在识别IMHMV和相关动脉静脉 (AVF) 中的诊断效用.
主要方法:
- 一个44岁的男性患有便秘和随后的肠道缺血的案例介绍.
- 对比增强的CT和CT血管学发现的审查,包括下等介质静脉 (IMV) 形态和介质静脉排泄.
- 从切除的结肠切除的手术样本的组织病理学检查.
主要成果:
- 最初的CT显示了肠壁的加厚,状IMV和脱落性介质静脉,表明静脉静止.
- 随后的CT血管造影显示了状的IMV和脱落性中腔静脉,早期增强,表明AVF.
- 手术样本证实了中腔静脉的焦点肌底极致增生,导致IMHMV的诊断.
结论:
- IMHMV是肠道缺血的一个重要原因,其特点是非血栓静脉阻塞.
- 状IMV和中腔AVF是诊断IMHMV的关键CT发现.
- 计算机图像扫描在IMHMV的诊断中起着至关重要的作用.
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