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由于与系统性红斑狼有关的动脉瘤破裂引起的血:一个病例报告

Ryoma Sakamoto¹, Yuto Kawate¹, Satomi Kono¹

¹Department of Gastrointestinal Surgery, Kameda Medical Center, 929, Higashimachi, Kamogawa, Chiba 2960041, Japan.

Journal of surgical case reports

|April 29, 2025

概括

系统性红斑狼 (SLE) 可能导致罕见的腹腔大动脉动脉瘤. 这一案例突出显示了SLE患者下层中枢动脉动脉瘤引起的血,强调了急性腹部病例需要差异诊断的必要性.

科学领域:

血管外科血管外科
类风湿病学类风湿病学
胃肠病学胃肠病学

背景情况:

系统性红斑狼 (SLE) 是一种自身免疫性疾病,与各种血管并发症有关,包括动脉瘤.
腹部内脏动脉瘤,特别是导致血液瘤的动脉瘤,是SLE的罕见表现.

研究的目的:

报告一例罕见的由腹部内动脉瘤引起的血瘤病例,该病例发生在患有长期SLE病史的患者身上.
强调在SLE患者急性腹部差异诊断中考虑动脉瘤破裂的重要性.

主要方法:

一名患有SLE的53岁男性患者出现了急性腹痛.
与对比增强的计算机断层扫描 (CECT) 识别了从下层中枢动脉 (IMA) 分支的外流.
进行了紧急腹腔切除术,揭示了大型中腔血瘤和动脉瘤IMA分支.

主要成果:

进行了下降结肠和血瘤的手术切除.
病理学检查证实了SLE的动脉瘤扩张和IMA分支部的纤维蛋白缩,归因于SLE.
患者没有出现并发症而康复,并在手术后28天出院.

结论:

破裂的腹部内动脉瘤,虽然很少见,但应包括在SLE患者急性腹部疾病的差异诊断中.
在SLE的血管脆弱性可能会导致这种动脉瘤形成和随后的破裂.

关键词:

一个小小的东西.动脉瘤是一个动脉瘤.破裂破裂破裂破裂

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