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在Botox注射后发生的大动脉-食道
1Centre hospitalier universitaire vaudois (CHUV), Lausanne, Switzerland.
Journal of the Belgian Society of Radiology
|March 31, 2025
概括
大动脉-食道裂 (AEF) 是一种罕见的,危及生命的,大动脉和食道之间的连接. 这一案例凸显了阳性AEF作为内镜玻尿素注射后罕见但致命的并发症.
科学领域:
- 心血管医学 心血管医学
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 大动脉-食道 (AEF) 是不常见的,经常致命的,涉及胸前大动脉和食道之间的异常连接.
- 原因包括大动脉疾病,食道疾病和阳性因素.
研究的目的:
- 报告一种罕见的发生于食道裂珠综合征的肉毒素 (Botox) 注射后的甲状腺-食道裂珠的罕见病例.
- 强调与阳性AEF相关的诊断挑战和不良预后.
主要方法:
- 一份病例报告显示,一名76岁的妇女在内镜注射Botox后出现胸痛和食道出血.
- 诊断成像包括计算机断层扫描 (CT) 来识别大动脉-食道和大动脉伪动脉瘤.
主要成果:
- 患者患上了一种主动脉-食道,起源于在注射肉毒素后的主动脉伪动脉瘤.
- 在任何干预之前,患者因循环系统崩而死亡.
结论:
- 透视性肉毒毒素注射是一种罕见的阳性原因,导致大脑食道.
- 通过成像和内镜进行早期诊断至关重要,尽管AEF的预后仍然很差,特别是在阴性病例中.
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