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诊断陷在上层介质动脉综合征:一个案例报告
Basma Alleelwa1, Qazi Mohammad Waleed2, Akanksha Soni3
1Acute Medical Unit, Stepping Hill Hospital, Stockport, GBR.
Cureus
|December 29, 2025
概括
上层半肠动脉 (SMA) 综合征是肠道阻塞的罕见原因,发生在十二指肠被压缩时. 这一案例突出了其诊断挑战和成功的保守管理,为一个患者无法解释的体重减轻.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 腹部成像 腹部成像 腹部成像
背景情况:
- 上层中肠动脉 (SMA) 综合征是上肠道阻塞的一个不常见的原因.
- 它是由SMA和大动脉之间的第三个十二指肠段的压缩引起的,通常是由于显著的体重减轻后中腔体脂肪的损失.
研究的目的:
- 为了呈现一个SMA综合征病例.
- 要突出诊断的挑战和考虑SMA综合征在患者不明原因的体重减轻和胃肠道症状的重要性.
主要方法:
- 一个病例报告,一名52岁的妇女出现了上肠道阻塞症状.
- 通过腹部对比度增强的CT证实了诊断,显示出大脑 - 中腹角缩小.
- 管理涉及保守措施,包括营养支持,饮食修改和姿势治疗.
主要成果:
- 患者出现了持续的吐,腹,腹痛和无意的体重减轻.
- 包括内镜在内的初步检查结果正常.
- 脑电图扫描证实了SMA综合征,保守的治疗导致了症状的逐渐改善.
结论:
- SMA 综合征带来了诊断挑战,特别是在正常内镜检查结果的情况下.
- 放射学确认对于及时诊断和管理至关重要.
- 保守治疗是第一线治疗方法,手术只适用于严重或耐火病例.
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