卡伦标志与外动脉动脉瘤破裂相关:一个案例报告
Kendra M Douglas1, William R Davis1, Jaron D Raper1
1University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama.
Clinical practice and cases in emergency medicine
|February 4, 2025
概括
卡伦标志,通常与胰腺炎有关,可以表明罕见的外侧阴动脉动脉瘤. 这一案例凸显了需要考虑破裂动脉瘤是这种腹部伤的原因.
科学领域:
- 血管外科 血管外科
- 腹部成像 腹部成像 腹部成像
- 症状学 症状学
背景情况:
- 卡伦标志是出血引起的周外,通常与急性胰腺炎有关.
- 这意味着沿着圆带的血液跟踪,表明背或腹部出血.
研究的目的:
- 报告一种罕见的卡伦病例,这种病例是由外侧阴动脉动脉瘤破裂引起的.
- 为了强调考虑卡伦标志的不常见病因.
主要方法:
- 一个慢性病的男性病例报告显示,他出现了腹部疼痛和周湿疹.
- 诊断成像包括腹部和骨盆的计算机断层扫描 (CT).
- 干预涉及左下门动脉动脉图和支架放置.
主要成果:
- 扫描显示左外阴动脉动脉瘤扩大与相邻和多焦点腹腔内血瘤.
- 患者表现出卡伦标志,与成像检测结果一致.
- 进行了插入支架的手术干预.
结论:
- 外侧阴动脉动脉瘤非常罕见,仅占腹部动脉瘤疾病的一小部分.
- 这一案例强调了评估库伦征兆超越胰腺炎的重要性,包括血管紧急情况,如破裂动脉瘤.
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