在15岁男孩的尿检查后诊断出双下静脉卡瓦
Shintaro Sugiyama1, Shoichiro Kanda1, Keiichi Takizawa1
1Pediatrics, The University of Tokyo, Tokyo, JPN.
Cureus
|March 24, 2025
概括
一名年轻患者的微观出血与罕见的双下腔静脉有关. 这种血管异常导致静脉压力升高,突显了在持续病例中需要成像.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 放射学 放射学是一门学科.
背景情况:
- 微观出血症是一种常见的尿液分析发现,通常是良性的,但有时表明显著的病理学,如质隆炎.
- 无症状的微观血往往具有有限的临床意义.
- 持续或恶化的微观出血需要进一步调查,以排除潜在的原因.
研究的目的:
- 报告一种罕见的微观出血症病例,由先天性血管异常引起.
- 为了强调成像在持续的诊断价值,无法解释的微观出血.
主要方法:
- 病例报告详细说明了尿液分析结果,病史和诊断成像.
- 对有关血管异常和出血症的相关医学文献的综述.
主要成果:
- 从3岁开始检测到的微观血,在15岁时恶化.
- 图像检测显示,有一个双下静脉,左静脉-下静脉接处收窄.
- 轻微的静脉压力升高与出血相关.
结论:
- 先天性血管异常,如双下腔静脉,可以导致微观的血.
- 持续的微观血需要全面的评估,包括先进的成像,以确定罕见的潜在原因.
- 血管异常的早期诊断可以指导适当的患者管理.
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