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上半腹膜和脏动脉的真菌性伪动脉瘤:一个病例报告
Fred Rudensky1, Nausheen Merchant2, Prasad Chalasani3
1Internal Medicine Graduate Medical Education Program, HCA Florida Lawnwood Hospital, Fort Pierce, Florida, USA.
Case reports in vascular medicine
|November 24, 2025
概括
内脏动脉动脉瘤,经常呈现为腹部疼痛,需要及时诊断以防止破裂. 这一案例突出了由内心炎引起的二次性真菌性伪动脉瘤,通过手术进行管理.
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:
- 内脏动脉动脉瘤和伪动脉瘤涉及脏,上半导体或下半导体动脉.
- 由栓塞引起的真菌性动脉瘤是快速进展的,可能致命的.
- 模糊的腹痛是最常见的表现,带来了诊断挑战.
研究的目的:
- 为了呈现上层中枢动脉和脏动脉真菌性伪动脉瘤的病例.
- 为了说明感染性内心炎的二次性这些动脉瘤的管理.
- 强调在患有腹痛的患者中考虑内脏动脉动脉瘤的重要性.
主要方法:
- 一个36岁的男性有静脉注射药物使用史的案例报告.
- 诊断包括对栓塞事件的MRI和对伪动脉瘤的CT.
- 管理包括开放式手术切除,线圈栓塞和脊髓切除术.
主要成果:
- 患者出现腹部疼痛,混乱,败血症和内心炎的证据.
- CT证实上层中枢动脉伪动脉瘤和脏动脉伪动脉瘤.
- 通过切除和脊髓切除术进行了成功的手术管理.
结论:
- 内脏动脉动脉瘤,特别是真菌性伪动脉瘤,在患有腹痛的患者中需要紧急考虑.
- 早期诊断和干预对于预防破裂和出血至关重要.
- 传染性内心炎是真菌性内脏动脉动脉瘤的重要危险因素.
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