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异常发病的下半腹膜动脉静脉带出血性腹:一个病例报告
Congcong Shi1, Xuan Zheng1, Lihong Chen2
1The Fourth Clinical Medicine School of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China.
Medicine
|December 10, 2025
概括
下腹中腔动脉静脉 (IMAV AVF) 可以模仿缺血性结肠炎. 早期诊断和适当的手术或内血管治疗对于出现胃肠道症状的患者至关重要.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
背景情况:
- 下腹中腔动脉静脉 (IMAV AVF) 是一种罕见的异常.
- 它涉及中腔动脉和静脉之间的异常连接,绕过毛细血管.
研究的目的:
- 突出IMAV AVF作为在呈现模仿缺血性结肠炎的症状的患者的差异诊断.
- 强调及时诊断和治疗的重要性.
主要方法:
- 一个64岁的男性病例报告,有2个月的血性腹,腹痛和体重减轻的病史.
- 诊断工作包括结肠镜检查,数字减去血管学和病理确认.
- 手术干预包括前部下部切除和末端结肠直肠切除.
主要成果:
- 这名患者被诊断为IMAV AVF,病理上得到证实.
- 状管起源于下层中枢动脉,并流入下层中枢静脉.
结论:
- 在患有类似于缺血性结肠炎的胃肠道症状的患者中,应考虑IMAV AVF.
- 排除的诊断往往是必要的,因为异常的IMAV AVF.
- 根据患者的病情,合理选择血管内或手术治疗是必不可少的.
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