右细胞癌:十二指肠的静脉附带细胞伪装成马洛里-韦斯综合征
Rajan Ravichandran1, Velmurugan Palaniyandi2, Hariharasudhan Sekar2
1Urology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India drrajancmc21@gmail.com.
BMJ case reports
|June 4, 2025
概括
本病例报告详细介绍了一种罕见的细胞癌 (RCC) 病例,表现为上部胃肠道出血. 血管栓塞和切除术成功治疗了导致出血的动脉静脉.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 细胞癌 (RCC) 很少表现为上部胃肠道出血.
- 血和黑色素可以表明严重的潜在病理,需要立即调查.
研究的目的:
- 报告第一个记录的细胞癌 (RCC) 病例,由于涉及十二指肠的动脉静脉 (AVF) 引起的血.
- 突出这一罕见的临床表现的诊断和管理挑战.
主要方法:
- 一个病人的病例报告呈现出血和低血性休克.
- 诊断成像包括超声波,上部胃肠内镜和CT腹部血管学.
- 干预性放射学 (血管栓塞) 随后进行手术管理 (根性切除术).
主要成果:
- 鉴定出右质,CT血管图显示出源于质并延伸到十二指肠的AVF.
- 观察到来自AVF的活性对比扩散.
- 该患者通过血管栓塞稳定,随后接受了成功的切除术和AVF绑定.
结论:
- 细胞癌可以通过不寻常的血管通道出现胃肠道出血,例如AVF进入十二指肠.
- 涉及干预性放射学和手术的多学科管理对于有利的结果至关重要.
- 这一案例强调了在患有不明原因胃肠道出血的患者中考虑罕见病因的重要性.
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