脊椎外周左静脉导致综合裂坚果综合征:一个案例报告和文献综述
David Luengo Gómez1,2, María Rabadán Caravaca3, Francisco Javier Contreras Matos4
1Abdominal Radiology Section, Radiology Department, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain.
Archivos espanoles de urologia
|August 8, 2025
概括
结合性破子综合征是一种罕见的病症,涉及左静脉压缩,可以发生在诸如左静脉等解剖变体中. 这一案例突出了通过CT诊断和成功的保守管理.
科学领域:
- 医疗病例报告 病例报告
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 破子综合征涉及左静脉 (LRV) 压缩,导致静脉高血压,出血症和腹痛.
- 解剖学变异,如环骨LRV,可以使个体倾向于这种情况.
- 这份报告详细介绍了一例不寻常的结合裂坚果综合征病例,涉及脊髓周围的LRV.
研究的目的:
- 报告一个不寻常的组合破子综合征病例.
- 要突出成像在识别这种罕见疾病的诊断作用.
- 审查现有的关于结合裂坚果症候群的文献,该综合症与脊髓周围LRV相关.
主要方法:
- 一个18岁的女性患有慢性腹痛和出血症的案例研究.
- 诊断工作包括实验室测试和对比增强计算机断层扫描 (CT).
- 使用PubMed进行了文献搜索,以确定类似的病例.
主要成果:
- 扫描显示了一个环膜大脑LRV,前后两个分支被压缩.
- 这证实了结合的破子综合征的诊断.
- 保守的治疗导致症状改善,在文献中只发现了五个类似的病例.
结论:
- 综合裂坚果综合征诊断严重依赖于成像,特别是CT,以可视化静脉压缩.
- 对于患有慢性腹痛和出血症的患者来说,考虑这种综合征至关重要,特别是对于像环门LRV这样的解剖变体来说.
- 精确的视觉化静脉压缩和涉及的解剖结构是通过CT实现的.
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