剩余的超声波增强剂模仿门口静脉气体
Ryan Bitar1, Jonathan Langdon1, Manroop Kaur1
1Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT.
Ultrasound quarterly
|October 28, 2024
概括
超声波上的移动回声焦点,通常表明严重的肠道问题,实际上可以是最近的心脏成像中的残留超声波增强剂 (UEA). 这一发现凸显了在差异诊断中考虑UEA的重要性.
科学领域:
- 医疗成像医学成像
- 胃肠病学 胃肠病学
- 心脏病学 心脏病学
背景情况:
- 门静脉或肝膜中的回声发作焦点是门静脉气体的关注点,通常与肠道缺血有关.
- 超声波增强剂 (UEA) 在腹部和心脏成像中很常见.
- 在超声波上,UEA的外观可以模仿气体.
研究的目的:
- 调查疑似由残留超声增强剂引起的门静脉气体现象.
- 强调需要将UEA残留物纳入回声发作焦点的差异诊断中.
主要方法:
- 对疑似门静脉气体的病例进行观察性研究.
- 对患者最近使用超声波增强剂的病史的审查,特别是从对比增强心声回声学.
主要成果:
- 最初怀疑由肠道缺血引起的门静脉气体的确诊病例被发现是由残留或持久的UEA引起的.
- 证明UEA残留物可以模仿门静脉气的超声波外观.
结论:
- 最近的心声回声学中的残留超声增强剂可以呈现为回声发作焦点,模仿门静脉气体.
- 临床医生在解释腹部超声波时应考虑最近的UEA注射,这些超声波显示门系统或肝脏中的回声发作焦点.
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