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血管紧张素转换酶抑制剂相关肠道血管性水肿的磁共振成像:三例报告并文献复习

MR imaging of intestinal angioedema related to angiotensin-converting enzyme inhibitors: Report of three cases and review of literature.

作者信息

Savino Michael R, Mittal Pardeep K, Miller Frank H

机构信息

Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N. Saint Clair St., Suite 800, Chicago, IL 60611, United States.

Department of Radiology, Emory University School of Medicine, 1364 Clifton Rd. NE, Atlanta, GA 30322, United States.

出版信息

Clin Imaging. 2017 May-Jun;43:122-126. doi: 10.1016/j.clinimag.2017.03.001. Epub 2017 Mar 8.

DOI:10.1016/j.clinimag.2017.03.001
PMID:28292712
Abstract

Angioedema is a condition in which an increase in vascular permeability leads to the swelling of body tissues. There are both hereditary and acquired forms of the disease, with the latter often associated with the administration of angiotensin-converting enzyme inhibitor medication. Involvement of the intestinal tract is a rare manifestation of angioedema, and can present with abdominal pain, nausea, and vomiting. It is critical for radiologists to be aware of this entity, as they may have the only opportunity to make the diagnosis. We present three cases of intestinal angioedema diagnosed on MRI with discussion of the imaging findings.

摘要

血管性水肿是一种由于血管通透性增加导致身体组织肿胀的病症。该疾病有遗传性和后天性两种形式,后者通常与血管紧张素转换酶抑制剂药物的使用有关。肠道受累是血管性水肿的一种罕见表现,可出现腹痛、恶心和呕吐症状。放射科医生了解这一病症至关重要,因为他们可能是做出诊断的唯一机会。我们展示了三例通过磁共振成像(MRI)诊断出的肠道血管性水肿病例,并对影像学表现进行了讨论。

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