患有类风湿性关节炎的患者的右结肠动脉伪动脉瘤:一个病例报告
Sriparna Biswas1, Bijit Saha2, Rohith Kodali2
1Department of Microbiology, Bankura Sammilani Medical College, Bankura, India.
Turkish journal of surgery
|July 7, 2025
概括
本病例报告详细介绍了一名类风湿性关节炎患者的罕见右结肠动脉伪动脉瘤,这是类风湿性血管炎的并发症. 成功的内血管线圈栓塞解决了症状,证明了有效的治疗选择.
科学领域:
- 血管外科 血管外科
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
背景情况:
- 类风湿性关节炎 (RA) 是一种自身免疫性疾病,主要影响关节.
- RA 可以导致系统性并发症,包括血管炎,这会影响血管.
- 由内脏动脉伪动脉瘤引起的胃肠道出血是类风湿性血管炎的罕见但严重的表现.
研究的目的:
- 介绍第一个报告的右结肠动脉 (RCA) 伪动脉瘤的病例,其次是类风湿性血管炎.
- 描述这种罕见疾病的临床表现,诊断成像和内血管管理.
- 强调在RA患者中考虑血管炎的重要性, RA患者呈现出无法解释的胃肠道出血.
主要方法:
- 评估了一名患有类风湿性关节炎的患者,表现为腹膜疼痛,吐和黑色斑.
- 计算机断层扫描 (CT) 血管造影用于诊断右结肠动脉伪动脉瘤.
- 通过跨动脉线圈栓塞进行的内血管治疗是在选择性上半导体动脉血管学指导下进行的.
主要成果:
- 计算机断层扫描 (CT) 血管学成功发现了右结肠动脉伪动脉瘤.
- 跨动脉线圈栓塞在技术上成功排除了伪动脉瘤.
- 患者在内血管手术后经历了症状的消失.
结论:
- 右结肠动脉伪动脉瘤不常见,通常是由创伤或胰腺炎引起的.
- 这一案例凸显了类风湿性血管炎作为潜在的,尽管罕见的,内脏动脉伪动脉瘤的原因.
- 血管内线圈栓塞是一种有效的,最少的侵入性治疗,用于血液动力学稳定的患者与右结肠动脉伪动脉瘤.
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