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状动脉静脉和伪动脉瘤是由于枪伤而产生的次要创伤
Ibrahim Akbudak1, Muhammed Tekinhatun1, Mehmet Sait Duyu1
1Department of Radiology, Dicle University, 21280 Diyarbakir, Turkey.
Diagnostics (Basel, Switzerland)
|August 14, 2025
概括
本病例报告详细介绍了一个罕见的腹部动脉静脉 (AVF) 经过穿透创伤. 通过双相CTA及手术介入及时诊断导致了患者的康复.
科学领域:
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 腹腔动脉静脉 (AVF) 是穿透创伤的一种罕见但严重的并发症.
- 如果AVF没有及时诊断和治疗,可能会导致显著的发病率和死亡率.
研究的目的:
- 为了呈现一个 ilio-iliac AVF 病例和枪伤后的伪动脉瘤.
- 在这种情况下,强调双相CT血管造影 (CTA) 的诊断实用性.
- 为了说明复杂腹部AVF的外科治疗方法.
主要方法:
- 一名24岁的男性有多次枪伤,接受了初始CT和双相CTA.
- 诊断成像显示,右外阴动脉和静脉之间的动脉静脉,以及伪动脉瘤.
- 外科干预包括腹腔切除,动脉支架,静脉修复和空洞粘膜损伤的治疗.
主要成果:
- 双相CTA准确地诊断出阴-阴AVF和伪动脉瘤.
- 开放性腹腔切除术成功修复了血管损伤和相关的内脏损伤.
- 患者经历了逐渐的康复,可控的血清性泄漏.
结论:
- 在患有穿透腹部创伤的患者中,早期考虑AVF至关重要.
- 双相CTA是诊断AVF和指导手术规划的重要工具.
- 多学科的外科管理对于复杂创伤病例的良好结果至关重要.
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