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瘤活检后的脏动脉伪动脉瘤: 恶性淋巴瘤的化疗开始后不久延迟破裂
Tomonori Matsuura1, Satoru Yanagaki1, Yuriko Kagaya1
1Division of Radiology, Tohoku Medical and Pharmaceutical University 1-15-1 Fukumuro, Miyagino, Sendai, Miyagi, 983-8536, Japan.
Radiology case reports
|December 1, 2025
概括
对扩散型大B细胞淋巴瘤进行脏活检的延迟并发症是脏动脉伪动脉瘤. 快速的透管动脉栓塞成功治疗了这种危及生命的疾病.
科学领域:
- 在瘤学瘤学.
- 干预性放射学 干预性放射学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 通过皮肤脏活检诊断出一个瘤是扩散性大B细胞淋巴瘤 (DLBCL).
- 患者出现了宪法症状和腹部质量.
研究的目的:
- 报告DLBCL脏活检后发生的动脉伪动脉瘤形成的罕见病例.
- 为了突出通过透气管动脉栓塞成功治疗这种并发症.
主要方法:
- 在DLBCL诊断的超声波指导下进行皮肤通活检.
- 序列计算机断层扫描 (CT) 扫描用于瘤监测和并发症评估.
- 紧急CT诊断动脉伪动脉瘤和血液瘤.
- 通过导管动脉栓塞 (TAE) 使用微线圈用于伪动脉瘤修复.
主要成果:
- 在手术后12天,观察到一个活检后的血液瘤.
- 活检后16天,患者出现了腹痛,出血和休克.
- 紧急CT显示动脉伪动脉瘤和尿路血液瘤.
- TAE成功地使伪动脉瘤栓塞,使患者稳定.
结论:
- 动脉伪动脉瘤是脏活检后的一种罕见但严重的并发症.
- 化疗诱导的瘤回归可能会在伪动脉瘤发育之前发生.
- 及时诊断和内血管干预对于管理这种危及生命的疾病至关重要.
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