一例罕见的颈总动脉隔膜：首例病例报告及文献综述
A rare diaphragm in the common carotid artery: A first case report and literature review.
作者信息
Wang Ying, Li Jian-Chu, Lv Ke, Wang Nai-Li, Sharen Gao-Wa, Tan Li
机构信息
Department of Ultrasound, Chinese Academy of Medical Sciences & Peking Union Medical College Hospital Department of Human Anatomy, Histology and Embryology, Chinese Academy of Medical Sciences Department of Health Management, Peking Union Medical College Hospital, Beijing, China.
出版信息
Medicine (Baltimore). 2017 Jul;96(28):e7331. doi: 10.1097/MD.0000000000007331.
RATIONALE
We present a case of common carotid artery (CCA) diaphragm. To our knowledge, this is the first reported case in the imaging literature.
PATIENT CONCERNS
A 33-year-old woman presented herself to an annual health examination without any report of ill health.
DIAGNOSES
A stenosis with aneurysm dilation on the proximal part of the right CCA was revealed on ultrasound and CTA, by which a diaphragm-like structure on the stenosis lesion was clearly identified. An anatomic variant of artery was first considered.
INTERVENTIONS
The patient was followed up closely.
OUTCOMES
There was no progression of her CCA stonosis 1 year later.
LESSONS
This unusual and previously unreported case is presented to alert vascular sonographers and radiologists to its existence.
原理
我们报告一例颈总动脉（CCA）隔膜病例。据我们所知，这是影像学文献中首次报道的病例。
患者情况
一名33岁女性参加年度健康检查，未报告任何健康问题。
诊断
超声和CT血管造影（CTA）显示右侧颈总动脉近端有狭窄伴动脉瘤样扩张，狭窄病变处可见类似隔膜的结构。最初考虑为动脉解剖变异。
干预措施
对患者进行密切随访。
结果
1年后，她的颈总动脉狭窄没有进展。
经验教训
呈现这一罕见且此前未报道的病例，以提醒血管超声检查人员和放射科医生注意其存在。
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