一个罕见的合并:肝动脉动脉瘤和感染性内心炎在患有中枢假体的患者中
Fnu Arty1, Shreya Devarashetty1, Anoohya Vangala1
1Monmouth Medical Center, Long Branch, USA.
European journal of case reports in internal medicine
|August 11, 2025
概括
菌性肝动脉动脉瘤 (HAA) 是罕见但危险的,通常在破裂时出现. 及时诊断,干预和抗生素对于生存至关重要,特别是在服用抗凝血药的患者中.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 肝动脉动脉瘤 (HAA) 是一种罕见的疾病,占所有动脉动脉瘤的0.1%,占内脏伪动脉瘤的20%.
- 菌性HAA通常与传染性内心炎有关,其结果是微生物入侵并破坏动脉壁.
- 这些动脉瘤可能危及生命,特别是在使用假的抗凝血患者中,并且经常在破裂时出现.
研究的目的:
- 为了突出一种罕见但关键的表现的真菌性肝动脉伪动脉瘤在一个抗凝血患者.
- 强调及时诊断和干预对于管理这种危及生命的疾病的重要性.
主要方法:
- 一个73岁妇女的病例报告,她患有多种并发症,出现腹痛和休克.
- 诊断成像包括非对比和对比增强的CT和多普勒超声波.
- 治疗涉及伪动脉瘤的线圈栓塞和抗生素治疗.
主要成果:
- 该患者出现了血,直肠血瘤和左肝叶伪动脉瘤.
- 线圈栓塞成功稳定了血液动力学.
- 血液培养物确定了 * Staphylococcus epidermidis * ,导致针对性的抗生素治疗.
结论:
- 菌类HAA需要紧急诊断和管理,包括血管干预和抗生素.
- 早期识别和治疗对于改善这些罕见但严重病例的结果至关重要.
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