由迁移的线圈引起的胃出血:脏动脉线圈栓塞的罕见并发症
Tian Li1, Bayan Alsuleiman2, Manuel Martinez2,3
1Department of Medicine, State University of New York Downstate Health Science University, Brooklyn, New York.
Gastro hep advances
|August 12, 2024
概括
对于内脏动脉动脉瘤的跨动脉栓塞 (TAE) 后的线圈迁移是罕见的,但可能导致严重出血. 这一案例突出显示,在脏动脉伪动脉瘤的TAE之后,卷轴迁移到胃的延迟并发症.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 血管外科 血管外科
背景情况:
- 超动脉栓塞 (TAE) 是对出血的内脏动脉动脉瘤或伪动脉瘤的主要治疗方法.
- 卷轴迁移到胃肠道光层是一种罕见的,可能致命的TAE并发症.
- 这种并发症可以在最初的手术后多年表现出来.
研究的目的:
- 报告一个罕见的TAE后,卷轴延迟迁移到胃流层的罕见病例.
- 为了强调由于这种并发症而导致严重胃肠道出血的可能性.
- 为有关内血管栓塞并发症的文献做出贡献.
主要方法:
- 进行了文献审查,以确定之前的线圈迁移病例.
- 这里介绍了一个病例报告,该病例是由于线圈迁移而患上上部胃肠道出血的患者.
- 这名患者曾经接受了脏动脉伪动脉瘤的TAE治疗.
主要成果:
- 线圈迁移到胃层发生在最初的TAE手术几年后.
- 迁移的线圈导致了显著的上部胃肠道出血.
- 这种并发症与动脉肠形成和感染的风险有关.
结论:
- 线圈迁移是TAE的严重并发症,尽管很少发生,但对于内脏动脉动脉瘤来说是罕见的.
- 线圈迁移的延迟呈现需要警胃肠道出血在患者之前的栓塞.
- 对这种并发症的认识对于及时诊断和管理至关重要.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
57
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
57
Inflammatory Bowel Disease I: Ulcerative Colitis
160
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
160
Esophageal Varices-I: Introduction
96
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
96
Esophageal Perforation-II: Clinical Manifestations and Management
54
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
54
Gastritis III: Clinical Manifestations and Management
194
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
194
Esophageal Perforation-I: Introduction
77
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
77


