经过超选择性的Onyx栓塞治疗的复发性大眼球水出血:一个病例报告
Mohammad Reza Babaei1, Fatemeh Vaezi2, Bahman Rasuli3
1Department of Interventional Radiology, Firouzgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
Radiology case reports
|March 9, 2026
概括
罕见的眼和尾静脉动脉可能会导致下胃肠道出血. 这一案例表明,CT和血管造影对于诊断这些罕见的宫外静脉瘤至关重要,这些静脉瘤通过栓塞有效治疗.
科学领域:
- 胃肠病学 胃肠病学
- 血管放射学 血管放射学
- 干预性放射学 干预性放射学
背景情况:
- 阳和尾静脉是不常见的下胃肠道出血的来源.
- 在标准内镜检查中,这些静脉动脉常常被忽视.
- 患有肝硬化等潜在肝病的患者可能面临更高的风险.
研究的目的:
- 呈现出一例由大肠和尾静脉引起的复发性下部胃肠道出血.
- 强调先进的成像技术的诊断实用性.
- 为了说明内血管栓塞治疗这些罕见的静脉的有效性.
主要方法:
- 一名35岁的女性患有性结肠炎,原发性硬化性胆管炎和肝硬化,并出现了血和贫血.
- 进行了对比增强计算机断层扫描 (CT) 与静脉相成像.
- 血管造影用于详细的血管评估和随后的栓塞.
主要成果:
- CT显示了增强的阴道静脉动脉,暗示了宫外静脉动脉.
- 血管造影证实了小眼和尾静脉,并对下腔静脉进行了移植系统的分流.
- 使用石和粘合剂进行超选择性栓塞成功阻止了出血.
结论:
- 多相对比增强CT,特别是静脉相成像,对于诊断罕见的宫外静脉瘤至关重要.
- 最少侵入性内血管栓塞是一种有效的治疗方法,用于出血的眼和尾静脉.
- 早期和准确的诊断对于管理由罕见的血管异常引起的下胃肠道出血至关重要.
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