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在Iatrogenic Deep Circumflex Iliac动脉损伤后的出血性休克在体形成过程中:一种罕见的致命并发症

Farah Marzuki¹, Guo Hou Loo¹, Nik Farhan Nik Fuad²

¹Upper Gastrointestinal and Metabolic Surgery Unit, Department of Surgery, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.

|June 3, 2024

概括

腹腔可以很少引起从腹壁动脉严重的内出血. 快速的CT血管造影和血管栓塞对于治疗这种罕见但危及生命的并发症至关重要.

科学领域:

胃肠病学胃肠病学
干预性放射学干预性放射学
血管外科血管外科

背景情况:

腹腔是炎的常见手术,通常被认为是安全的.
并发症很少见,但可能包括腹膜炎,出血和肠道穿孔.
腹腔内出血 (IPH) 通常来自静脉附带血管或静脉.

研究的目的:

报告一种罕见的IPH病例,该病例是由于在形术期间深环动脉 (DCIA) 受到损伤的次要病例.
突出这一罕见并发症的诊断和管理策略.
强调高临床怀疑和超声指导的重要性.

主要方法:

病例报告:一名64岁的男性患有心力衰竭和风,正在进行形.
通过CT血管学证实IPH的诊断,该诊断显示左侧DCIA的活跃扩散.
通过血管栓塞成功管理受伤的DCIA.

主要成果:

患者在护理后出现了延迟的低血压和昏迷.
电脑图谱血管学揭示了显著的左侧腹腔内血瘤与DCIA的活跃出血.
血管栓塞有效控制了出血.

结论:

来自DCIA损伤的IPH是一种不常见但潜在的致命并发症.
隐性IPH可能会出现非特异性症状,如低血压.
血管栓塞是不受控制的IPH的有价值的治疗方法;超声波指导可以降低并发症风险.

关键词:

血管栓塞是一种血管栓塞.亚酸是一种酸.凝血病是一种凝血病.干预性放射学是干预性的放射学.腹腔周围的敲打是可以做到的.

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