孤立性腹腔干夹层合并脾动脉及肝总动脉闭塞1例

发布时间：2018-04-12 22:19

本文选题：腹腔干 + 动脉夹层　；参考：《中国医学影像技术》2017年09期

【摘要】：正患者男,52岁,因"抬重物后出现间断腹部隐痛伴腰痛1周"入院,疼痛与体位、进食无明显关系,对症治疗无好转入院。查体:血压166 mmHg/115 mmHg,腹软,无压痛;四肢血管搏动良好。主动脉CTA:腹腔干起始段管腔稍扩张,呈"双腔征"改变,内膜破裂口位于近端,长约3mm(图1A)。VR示腹腔干于胃左动脉开口10mm以远闭塞,肝总动脉、脾动脉近端闭塞,可见2条侧支血管供应胃十二指肠动脉及肝固有动脉,1支源
[Abstract]:The patient was 52 years old. He was admitted to hospital because of "intermittent abdominal pain with low back pain for 1 week after lifting heavy objects". There was no obvious relationship between pain and posture, eating, and no improvement in symptomatic treatment.Body examination: blood pressure 166 mmHg/115 Hg, soft abdomen, no tenderness, good blood vessel pulsation.Aortic CTAA: the initial segment of the celiac trunk was slightly dilated with a "double lumen sign". The rupture of the intima was located at the proximal end and was about 3 mm long. (1A).VR showed that the celiac trunk was distally occluded at the opening of the left gastric artery, the common hepatic artery and the proximal end of the splenic artery were occluded.It can be seen that two collateral vessels supply one branch of gastroduodenal artery and hepatic proper artery.
【作者单位】：贵州省人民医院放射科;
【分类号】：R543.5;R816.2

【相似文献】