1 All authors: Department of Radiology, Changi General Hospital, 2 Simei St 3, 529889, Singapore.
AJR Am J Roentgenol. 2014 Jul;203(1):29-36. doi: 10.2214/AJR.13.11598.
This article describes the typical imaging findings and clinical features that are associated with four abdominal vascular compression syndromes. We explain the underlying pathophysiology that results in these clinical syndromes so that the patient subset who will benefit from treatment can be identified.
The abdominal vascular compression syndromes discussed here are uncommon and are potentially easily missed on a cursory review of radiologic examinations, particularly in a nonspecific and vague clinical setting. Hence, knowledge of the typical imaging findings and associated clinical symptoms is essential so that the they can be carefully sought and excluded. However, because these findings may also exist in healthy individuals as anatomic variants, it is important to correlate radiologic findings with clinical symptoms to identify the subset of patients who will benefit from treatment.
本文描述了与四种腹部血管压迫综合征相关的典型影像学表现和临床特征。我们解释了导致这些临床综合征的潜在病理生理学机制,以便确定将从治疗中获益的患者亚组。
这里讨论的腹部血管压迫综合征并不常见,在对放射学检查进行粗略检查时,尤其是在非特异性和模糊的临床环境中,这些综合征很容易被遗漏。因此,了解典型的影像学表现和相关的临床症状是至关重要的,以便仔细寻找和排除这些表现。然而,由于这些表现也可能作为解剖变异存在于健康个体中,因此重要的是将放射学发现与临床症状相关联,以确定将从治疗中获益的患者亚组。