一个案例报告,细分动脉中解后出现的脏病发作
Rebecca A Bowie1, Adrianna D Clapp1, Robyn L Reese2
1Family Medicine, Mayo Clinic, Jacksonville, USA.
Cureus
|April 25, 2024
概括
大多数临床医生在侧侧疼痛病例中忽略了脏梗塞 (RI). 这份报告详细介绍了一例罕见的RI病例,该病例是由于年轻男性的细分动脉中解 (SAM) 导致的动脉解剖.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 侧面疼痛是一种常见的症状,但由于其感知较低的发病率,脏梗塞 (RI) 经常被忽视.
- 推迟诊断RI可能会导致严重的并发症,如高血压和慢性病.
研究的目的:
- 报告一个罕见的脏梗塞病例.
- 为了确定年轻,健康的患者脏梗塞的根本原因.
- 强调考虑RI在侧侧疼痛差异的重要性.
主要方法:
- 案例报告的审查.
- 对侧侧疼痛进行广泛的诊断工作.
- 图像和病理分析以确定脏梗塞的原因.
主要成果:
- 一个以前健康的39岁男性出现了侧翼疼痛.
- 经过广泛的检查,发现脏梗塞.
- 心脏病发作是由于细分动脉中间溶解 (SAM) 引起的动脉剖析的次要原因.
结论:
- 分段性动脉中间溶解 (SAM) 可以导致动脉解剖和随后的梗塞.
- 在对不明原因的侧侧疼痛的差异诊断中应考虑脏梗塞.
- 早期诊断和干预对于预防长期脏并发症至关重要.
相关概念视频
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Imaging Studies VII: Vascular Imaging
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
Acute Kidney Injury II: Pathophysiology
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...


