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血管性埃勒斯-当洛综合征中的自发性脾破裂

Spontaneous Splenic Rupture in Vascular Ehlers-Danlos Syndrome.

作者信息

Batagini Nayara Cioffi, Gornik Heather, Kirksey Lee

机构信息

Vascular Surgery Department, The Cleveland Clinic, Cleveland, OH, USA

Vascular Medicine Department, The Cleveland Clinic, Cleveland, OH, USA.

出版信息

Vasc Endovascular Surg. 2015 Jul-Aug;49(5-6):152-4. doi: 10.1177/1538574415602783. Epub 2015 Aug 30.

Abstract

Vascular Ehlers-Danlos Syndrome (VEDS) is a rare autosomal dominant collagen vascular disorder. Different from other Ehler-Danlos Syndrome subtypes, VEDS has poor prognosis due to severe fragility of connective tissues and association with life-threatening vascular and gastrointestinal complications. Spontaneous splenic rupture is a rare but hazardous complication related to this syndrome. To date, only 2 cases have been reported in the literature. Here we present another case of this uncommon complication, occurring in a 54-year-old woman in clinical follow-up for VEDS who presented with sudden onset of abdominal pain and hypotension.

摘要

血管性埃勒斯-当洛综合征(VEDS)是一种罕见的常染色体显性遗传性胶原血管疾病。与其他埃勒斯-当洛综合征亚型不同,VEDS由于结缔组织严重脆弱以及与危及生命的血管和胃肠道并发症相关,预后较差。自发性脾破裂是与该综合征相关的一种罕见但危险的并发症。迄今为止,文献中仅报道了2例。在此,我们报告另一例这种罕见并发症的病例,发生在一名54岁患有VEDS的女性患者身上,该患者在临床随访中突然出现腹痛和低血压。

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