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纤维肌发育异常:肾及肠系膜受累罕见病例的无创评估

Fibromuscular dysplasia: noninvasive evaluation of unusual case of renal and mesenteric involvement.

作者信息

Malagò Roberto, D'Onofrio Mirko, Mucelli Roberto Pozzi

机构信息

Department of Radiology, University of Verona, Policlinico G.B. Rossi, Verona, Italy.

出版信息

Urology. 2008 Apr;71(4):755.e13-5. doi: 10.1016/j.urology.2007.10.061. Epub 2008 Mar 3.

Abstract

Fibromuscular dysplasia is the most common cause of renovascular hypertension in young patients. It primarily involves the renal and carotid arteries, and it is less common in the coronary, iliac, and visceral arteries. Digital subtraction angiography is still the best investigation to determine the location, extent, and complications of renal artery involvement. However, currently, other imaging modalities such as ultrasonography, computed tomography, and magnetic resonance imaging can reveal these findings noninvasively. We present the case of a 43-year-old woman who presented with high blood pressure and headache. Imaging revealed fibromuscular dysplasia of the renal arteries and the superior mesentery artery.

摘要

纤维肌性发育异常是年轻患者肾血管性高血压最常见的病因。它主要累及肾动脉和颈动脉,在冠状动脉、髂动脉和内脏动脉中较少见。数字减影血管造影仍是确定肾动脉受累部位、范围及并发症的最佳检查方法。然而,目前其他成像方式,如超声、计算机断层扫描和磁共振成像,能够无创地显示这些情况。我们报告一例43岁女性患者,其表现为高血压和头痛。影像学检查显示肾动脉和肠系膜上动脉存在纤维肌性发育异常。

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