通过双气球内镜诊断的初级动脉肠
Momoko Yamamoto1, Kei Nomura1, Tomoyoshi Shibuya1,2
1Department of Gastroenterology Juntendo University School of Medicine Japan.
DEN open
|April 18, 2025
概括
初级大动脉肠 (PAEF) 是一种罕见的疾病,其中腹腔大动脉动脉瘤 (AAA) 直接破裂进入肠道. 这一案例凸显了在患有胃肠道出血和AAA病史的患者中考虑PAEF的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 初级大动脉肠 (PAEF) 是腹腔大动脉动脉瘤 (AAA) 的罕见但危及生命的并发症.
- PAEF涉及由AAA直接破裂肠道,不同于二次.
- 十二指甲状腺受影响最常见,但也会发生状腺和状腺病例.
研究的目的:
- 报告一种罕见的原发性大动脉肠瘤病例,表现为胃肠道出血.
- 强调诊断挑战和先进内镜技术的作用.
- 强调在AAA和无法解释的胃肠道出血的患者中考虑PAEF的重要性.
主要方法:
- 一位82岁的女性患者呈现出严重的血和血.
- 最初的上部和下部内镜检查结果不确切.
- 在前期的双气球内镜检查中,发现了一种状的膜下粘膜瘤状突起,并出现了.
- 计算机断层扫描 (CT) 证实AAA附近的空气自由,表明PAEF.
主要成果:
- 这名患者被诊断出患有初级的动脉肠.
- 一个腹腔大动脉支架移植成功地植入,随后进行了腹腔切除术.
- 在手术期间的发现显示了AAA与小肠壁之间的粘附.
- 患者经历了无事件的术后恢复,没有复发.
结论:
- 在有AAA病史且出现胃肠道出血的患者中,应考虑PAEF.
- 内镜检查发现,如下膜瘤状突起,可能表明PAEF,不应误诊.
- 在PAEF病例中,及时诊断和干预对于有利的患者结果至关重要.
相关概念视频
01:26Endoscopic Procedures V: ERCP
37
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
37
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
32
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
32
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
51
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
51
01:20Imaging Studies for Cardiovascular System II:Types of Echocardiography
200
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
200