一个年轻女子的上半导体动脉综合征:来自低资源环境的病例报告
Md Muhibur Rahman1, Md Jahangir Alam1, Mostak Uddin Ahmed1
1Department of Gastroenterology Sylhet MAG Osmani Medical College Hospital Sylhet Bangladesh.
Clinical case reports
|March 17, 2025
概括
上半腹腔动脉综合征 (SMAS) 是一种罕见的腹痛和吐的原因,通常与减肥有关. 早期诊断和鼻口食可以使受影响患者的症状显著改善.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 外科手术病例报告
背景情况:
- 上层中枢动脉综合征 (SMAS) 是一种罕见的疾病,导致十二指甲骨压缩.
- 症状包括反复出现的腹部上部疼痛,食后吐和显著的体重减轻.
- 由于非特异性症状和正常的初步调查,诊断可能具有挑战性.
研究的目的:
- 在一个长期症状的年轻女性中呈现SMAS病例.
- 要突出诊断过程和成功的SMAS的非手术管理.
- 强调在未解释的上部胃肠道问题的差异诊断中考虑SMAS的重要性.
主要方法:
- 一个31岁的女性的临床表现,有7年的腹痛和体重减轻史.
- 诊断工作包括例行血液检查,腹部超声波,内镜,研究和CT扫描.
- 治疗始于鼻口食.
主要成果:
- 内镜检查显示了轻微的十二指管球形变形;CT检查显示了十二指管狭窄.
- 患者经历了症状的改善和体重增加在两周内鼻口食.
- 由于口服成功和症状解决,鼻管被切除.
结论:
- 在出现不明原因的体重减轻,腹痛和吐的患者中,特别是年轻女性,应考虑SMAS.
- 及时的临床评估和放射性成像对于及时诊断至关重要.
- 非手术管理,如营养支持,可以有效地治疗SMAS.
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Cardiovascular System Abnormal Findings I: Inspection and Palpation
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
Rheumatic Heart Disease I: Introduction
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Coronary Artery Disease III: Clinical Manifestations
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...


