在治疗IgG4相关的硬化性胆道炎期间发生的多重肝内动脉动脉瘤:病例报告
Hotaka Tamura1, Yoshinori Ozono1, Keisuke Uchida1
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan.
World journal of hepatology
|January 2, 2025
概括
在IgG4相关的硬化性胆道炎 (IgG4-SC) 治疗期间,多重肝内动脉动脉瘤可能会发生. 这些动脉瘤是预后不佳的并发症,需要及时治疗.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
背景情况:
- 本病例报告详细介绍了一名患有IgG4相关的硬化性胆管炎 (IgG4-SC) 的患者正在接受治疗.
- 患者正在接受普雷迪尼索隆维护疗法.
研究的目的:
- 报告多重肝内动脉动脉瘤的病例.
- 描述它们在IgG4-SC治疗期间的发生.
- 为了告知临床实践关于这种并发症.
主要方法:
- 一名64岁的妇女在普雷迪尼索隆维持治疗时有IgG4-SC病史,出现了腹部疼痛和肌痛.
- 诊断成像包括对比度增强的计算机断层扫描 (CT) 和超声波 (US).
- 干预涉及紧急的跨动脉栓塞.
主要成果:
- 在IgG4-SC治疗期间发现了多个肝内动脉动脉瘤.
- 跨动脉栓塞成功解决了动脉瘤.
- 患者的症状 (贫血,黑色素) 消失,达到静血.
结论:
- 肝动脉动脉瘤可能是IgG4相关的硬化胆管炎的并发症.
- 这些动脉瘤可能表明IgG4-SC患者的预后不佳.
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