与粘附相关的小肠静脉的皮肤穿透静脉逆行栓塞:一个案例报告
Ghanem Mohamed1, Sondes Bizid1, Hatem Ben Abdallah1
1Department of Gastroenterology and Hepatology, Military Hospital of Tunis, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TUN.
Cureus
|November 10, 2025
概括
小肠静脉瘤是手术后胃肠道出血的罕见原因,通过透静脉消化成功治疗. 通过表面静脉接入的微创方法,在患有原发性胆道胆炎和腹腔疾病的患者中实现了长期的血液静止.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 小肠静脉是一种罕见的胃肠道出血原因,通常在腹部手术后发生.
- 由于深层解剖位置和临床意识较低,诊断往往会延迟.
- 穿越静脉消灭是标准的治疗方法,但实现最小侵入性的静脉接入是具有挑战性的.
研究的目的:
- 通过微创方法报告小肠静脉静脉的成功消灭.
- 突出宫外静脉的诊断和治疗影响,在患有门性高血压的患者.
主要方法:
- 用对比度增强的计算机断层扫描用于诊断和解剖划分.
- 穿皮静脉通道通过前腹壁的静脉.
- 使用N-基-2-烯酸和以化油,逆行栓塞阴静脉.
主要成果:
- 成功识别和栓塞与粘附相关的状静脉.
- 在9年的随访中,立即实现了无复发的血液静止.
- 通过表面静脉接入,证明了微侵袭性透静 obliteration 的可行性.
结论:
- 在患有无法解释的胃肠道出血和门门高血压的患者中,特别是腹部手术后,应考虑异位静脉.
- 截面成像对于诊断,分流解剖评估和治疗计划至关重要.
- 通过静脉消灭的表面静脉接入是首选的最小侵入性方法,当解剖学上可行的.
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