异形性炎症性上层中枢动脉动脉瘤:病例报告和系统文献综述
Candice Vallauri1,2, Salomé Kuntz1,2, Anne Lejay1,2,3
1Department of Vascular Surgery, Kidney Transplantation and Innovation, University Hospital of Strasbourg, Strasbourg, France.
EJVES vascular forum
|November 10, 2025
概括
异常性炎症性上层介质动脉动脉瘤 (SMAA) 是罕见的. 这项研究报告了一个病例,并审查了文献,发现了少数类似的病例,强调对这种罕见的血管疾病进行彻底的诊断.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 上层介质动脉动脉瘤 (SMAA) 是一种不常见的血管疾病.
- 炎症性SMAA可能是特异性的,缺乏明确的潜在原因.
- 这些罕见动脉瘤的诊断和管理存在独特的挑战.
研究的目的:
- 报告一个异常性炎症性SMAA病例.
- 对类似案件进行系统的文献审查.
- 要突出诊断性考虑的异常性炎症性SMAA.
主要方法:
- 一个61岁的老人患有慢性腹痛的案例介绍.
- 诊断成像包括计算机断层扫描血管造影和正子辐射断层扫描计算机断层扫描.
- 在MEDLINE和PubMed数据库中的系统文献搜索 (1979-2024年).
主要成果:
- 该病例涉及65毫米SMAA带有炎症迹象,用内移植植入物进行治疗.
- 在文献审查中,只发现了两篇关于异常性炎症性SMAA的先前出版物.
- 以前出现腹部/背部疼痛的病例,通过CT血管造影诊断,并通过手术或药物治疗.
结论:
- 异常性炎症性SMAA非常罕见.
- 为了排除其他诊断,全面的病因评估至关重要.
- 需要进一步的研究,以了解这些罕见动脉瘤的发病和最佳管理.
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