持续的尤斯塔希亚门导致44岁男性腹部和骨盆静脉系统扩张:一个病例报告
Martin Nguyen1, Christopher Gross2, Jackie Buttafuoco2
1Radiology, West Virginia School of Osteopathic Medicine, Lewisburg, USA.
Cureus
|June 24, 2024
概括
一种罕见的持续性尤斯塔希亚 (Eustachian valve,简称EV) 在一个健康的男性中导致腹腔静脉扩张. 这一发现强调了在诊断静脉异常和中风风险时考虑胚胎残留的重要性.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 胚胎学 胚胎学
背景情况:
- 尤斯塔基亚 (Eustachian valve,简称EV) 是一个胚胎遗留物,在出生后通常会退行.
- 在成年后,EV的持续是不常见的,并且可能与心脏异常有关.
- 持续的EV与潜在的风险有关,例如悖论性栓塞.
研究的目的:
- 报告一种罕见的持续性尤斯塔基亚 (EV) 病例,导致静脉显著扩张.
- 强调胚胎残留在无法解释的静脉膨胀中的诊断重要性.
- 突出管理持久性EV患者进行干预手术的考虑因素.
主要方法:
- 一个44岁的男性病例报告,侧侧疼痛和尿路结石.
- 在诊断成像中偶然发现了无法解释的腹部和骨盆静脉张张.
- 静脉张张的病因归因于突出的尤斯塔希亚门 (EV) 阻塞下腔静脉 (IVC).
主要成果:
- 一个持久的尤斯塔希亚 (EV) 被确定为明显静脉扩张的原因.
- 该患者还患有左尿路结石,与静脉发现无关.
- 突出的EV阻塞了下腔静脉 (IVC).
结论:
- 持续的尤斯塔基亚 (EV) 可能导致严重的静脉张张,应在差异诊断中考虑.
- 仔细的诊断评估对于识别静脉异常的潜在原因至关重要.
- 个性化管理策略对于持久性EV患者来说是必要的,特别是在心脏干预之前,如ASD关闭,以减轻手术风险.
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