自发的双边外部关静脉动脉瘤:一系列两份病例报告
Srishti Singh1, Neha Singh1, Shivam Singh1
1Ram Manohar Lohia Institute of Medical Science, Lucknow, Uttar Pradesh, India.
Radiology case reports
|January 27, 2025
概括
自发的外静脉动脉瘤是罕见的,通常呈现为无痛的部胀. 这个案例系列强调了他们的诊断和管理,强调了对潜在并发症的警.
科学领域:
- 血管外科 血管外科
- 放射学 放射学是一门学科.
- 血管医学 血管医学
背景情况:
- 与动脉相比,静脉动脉瘤并不常见.
- 没有创伤的自发外部关静脉动脉瘤非常罕见.
- 双边参与进一步增加了这些病例的罕见性.
研究的目的:
- 为了呈现一种自发的外部关静脉动脉瘤的病例系列.
- 要突出与这些罕见的血管异常相关的诊断挑战和成像发现.
- 强调区分静脉动脉瘤与部其他胀,如静脉形和淋巴管瘤的重要性.
主要方法:
- 两名患者的病例系列呈现部胀.
- 诊断成像包括超声波和部对比度增强CT.
- 临床评估侧重于病史,体检和成像发现.
主要成果:
- 两名患者被诊断出自发的外静脉动脉瘤,出现无痛的部胀.
- 超声波证实了囊性胀与EJV的光连续性.
- CT扫描显示,在两位患者的逆侧EJV中,没有创伤史的患者都有相似的外包.
- 由于缺乏扩散或并发症,这两名患者都被保守地管理,并进行密切跟踪.
结论:
- 自发EJVAs是部质量的罕见但重要的差异诊断.
- 准确的诊断依赖于彻底的临床评估和详细的成像解释.
- 将静脉动脉瘤与伪动脉瘤和形区分开来至关重要,因为管理策略有很大的不同.
- 临床医生应保持警,注意动脉瘤扩大的迹象,需要转诊给血管外科医生.
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