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通过非增强磁共振成像诊断出的腹主动脉瘤破裂。

Ruptured abdominal aortic aneurysm diagnosed through non-contrast MRI.

作者信息

Chatra Priyank S

机构信息

Department of Radiology, Badr Al Samaa Hospitals, Muscat, Oman.

出版信息

Qatar Med J. 2013 Dec 23;2013(2):45-9. doi: 10.5339/qmj.2013.16. eCollection 2013.

DOI:10.5339/qmj.2013.16
PMID:25003065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4080494/
Abstract

Rupture of an aneurysm is a rare complication although it is considered a common cause of death. Some of these patients present with the classic triad of symptoms such as abdominal pain, pulsatile abdominal mass and shock. Most symptoms are misleading and will only present as vague abdominal pain. Here we describe one such patient with an unusual presentation of a misleading abdominal mass which was eventually diagnosed as a ruptured abdominal aortic aneurysm after an emergency MRI.

摘要

动脉瘤破裂是一种罕见的并发症,尽管它被认为是常见的死亡原因。其中一些患者会出现腹痛、腹部搏动性肿块和休克等典型三联征症状。大多数症状具有误导性,仅表现为模糊的腹痛。在此,我们描述了这样一位患者,其出现了一个具有误导性的腹部肿块的不寻常表现,最终在紧急MRI检查后被诊断为腹主动脉瘤破裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ebd/4080494/e94403caa61f/qmj-2013-016-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ebd/4080494/91267d89f817/qmj-2013-016-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ebd/4080494/e94403caa61f/qmj-2013-016-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ebd/4080494/91267d89f817/qmj-2013-016-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ebd/4080494/e94403caa61f/qmj-2013-016-g002.jpg

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Surg Clin North Am. 2013 Aug;93(4):877-91, viii. doi: 10.1016/j.suc.2013.05.005. Epub 2013 Jul 3.
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Two decades of endovascular abdominal aortic aneurysm repair: enormous progress with serious lessons learned.二十年的血管内腹主动脉瘤修复术:取得巨大进展并吸取了惨痛教训。
J Am Heart Assoc. 2012 Jun;1(3):e000075. doi: 10.1161/JAHA.111.000075. Epub 2012 Jun 22.
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New approaches to abdominal aortic aneurysm rupture risk assessment: engineering insights with clinical gain.探讨腹主动脉瘤破裂风险评估的新方法:具有临床获益的工程学新视角。
Arterioscler Thromb Vasc Biol. 2010 Sep;30(9):1687-94. doi: 10.1161/ATVBAHA.110.204529. Epub 2010 May 27.
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Long-term outcome of open or endovascular repair of abdominal aortic aneurysm.腹主动脉瘤开放或血管内修复的长期结果。
N Engl J Med. 2010 May 20;362(20):1881-9. doi: 10.1056/NEJMoa0909499.
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Endovascular versus open repair of abdominal aortic aneurysm.血管内与开放修复腹主动脉瘤。
N Engl J Med. 2010 May 20;362(20):1863-71. doi: 10.1056/NEJMoa0909305. Epub 2010 Apr 11.
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