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在急诊室的动脉双关节综合征
Camila Nagoda Niklewicz1, Aditya Vijay2, Erik Witt2
1Emergency Medicine, Royal Free London NHS Foundation Trust, London, UK camila.nagodaniklewicz1@nhs.net.
BMJ case reports
|February 11, 2025
概括
呈现了一种罕见的甲双综合征病例,其中腹腔大动脉动脉瘤压缩了十二指肠,导致阻塞. 这强调了考虑老年人动脉瘤并发症的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 老年医学 老年医学
背景情况:
- 腹腔大动脉瘤 (AAA) 通常是无症状的,直到破裂.
- 扩大AAA可以导致邻近器官的外部压缩.
- 动脉双关节综合征是一种罕见的AAA并发症,涉及十二指关节压缩.
研究的目的:
- 报告一个患有大动脉双关节综合征的病例.
- 强调在患有AAA的患者中小肠阻塞的诊断考虑.
- 强调在老年人群中认识到AAA的惰性并发症的重要性.
主要方法:
- 一个老年男性患者的病例报告.
- 临床表现与小肠阻塞的症状.
- 诊断调查,包括成像,以确认动脉瘤和十二指肠压缩.
主要成果:
- 确认了小肠阻塞的诊断,这是由腹腔大动脉动脉瘤引起的外部压缩的次要原因.
- 患者被诊断出患有甲骨两关节综合征.
- 由于患者的年龄,脆弱性和偏好,选择了非手术治疗.
结论:
- 大动脉双关节综合征是腹腔大动脉动脉瘤的一种罕见但显著的并发症.
- 在出现胃肠道症状的老年患者中,应考虑AAA的无效并发症.
- 在某些脆弱患者中,非手术治疗可能是合适的.
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