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主要动脉肠:一个病例报告和文献综述
Pietro Fransvea1, Tommaso Partipilo1, Tommaso Donati2
1UOC Chirurgia d'Urgenza e del Trauma, Fondazione Policlinico Universitario A. Gemelli, IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
International journal of surgery case reports
|March 16, 2026
概括
没有大动脉动脉瘤的初级大动脉管 (PADF) 是罕见的,难以诊断的,往往导致高死亡率. 早期识别和迅速成像对于管理这种危及生命的疾病至关重要.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 初级大动脉肠 (PAF) 是一种罕见的,危及生命的疾病,通常与腹腔大动脉动脉瘤有关.
- 没有动脉瘤疾病的初级大动脉管 (PADF) 异常罕见,报告的病例有限.
- 延迟诊断PADF显著导致高死亡率.
研究的目的:
- 在患有卵巢癌且没有大动脉动脉瘤的患者中报告罕见的PADF病例.
- 突出PADF的诊断挑战和管理策略.
- 强调在特定患者群体中考虑PADF的重要性.
主要方法:
- 一个71岁的女性患有卵巢癌并患上PADF的病例报告.
- 最初的调查包括CT扫描和上部内镜 (EGDS).
- 诊断在紧急探索性腹腔切除术中得到证实;进行了手术修复.
主要成果:
- 患者出现了血和腹部疼痛,初步调查得不到结论.
- 经常出现的胃肠道出血导致血液动力学恶化,需要紧急成像.
- 尽管经过手术修复,但患者经历了术后多器官衰竭,并死亡.
结论:
- 在胃肠道出血的差异诊断中应考虑PADF,特别是在没有动脉瘤疾病的瘤患者中.
- 早期诊断需要高度的怀疑指数和先进的成像技术,如CT血管造影.
- 迅速诊断和多学科管理对于改善PADF病例的结果至关重要.
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