Srisajjakul Sitthipong, Prapaisilp Patcharin, Bangchokdee Sirikan
Division of Diagnostic Radiology, Department of Radiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Department of Internal Medicine, Pratumtani Hospital, Pratumtani, Thailand.
Indian J Radiol Imaging. 2017 Apr-Jun;27(2):216-224. doi: 10.4103/ijri.IJRI_7_17.
Vascular structures in the abdomen can compress or be compressed by adjacent structures. Classic imaging findings of vascular compressions, including median arcuate ligament syndrome, superior mesenteric artery syndrome, nutcracker syndrome, portal biliopathy, May-Thurner syndrome, and ureteropelvic junction obstruction will be discussed here. It is important to correlate imaging findings and clinical data to identify asymptomatic vascular compression which requires no treatment, intermittent vascular compression with nonspecific or vague clinical manifestation, and the subset of patients with true syndromes who will benefit from treatment.
腹部的血管结构可被相邻结构压迫或压迫相邻结构。本文将讨论血管受压的典型影像学表现，包括正中弓状韧带综合征、肠系膜上动脉综合征、胡桃夹综合征、门静脉性肝病、梅-图二氏综合征和输尿管肾盂连接部梗阻。将影像学表现与临床数据相关联，以识别无需治疗的无症状血管受压、具有非特异性或模糊临床表现的间歇性血管受压，以及将从治疗中获益的真正综合征患者亚组，这一点很重要。
