Coulier Bruno, Montfort Luc, Vandezande Lise-Marie, Bafort Anne-Catherine, Gogoase Monica
Clinique Saint-Luc, Bouge, BE.
J Belg Soc Radiol. 2017 Apr 25;101(1):22. doi: 10.5334/jbr-btr.1275.
Angioedema (AE) classically manifests as an acute transient swelling of extra-visceral spaces, subcutaneous and submucosal tissues. Sometimes it may be a life-threatening condition. The causes are numerous, and the common denominator is an increased vascular permeability allowing diffusion or extravasation of fluid from the vascular bed to the interstitial space. The severity of AE is related to the cause, body location, and extension. We hereby report two very unusual cases characterized by a massive attack of AE from the left cervical area to the pelvis through the length of the mediastinum and axial posterior retroperitoneum. The diagnosis was established by CT. The first case was found related to drug intake, and the second appeared idiopathic.
血管性水肿（AE）通常表现为内脏外间隙、皮下和黏膜下组织的急性短暂性肿胀。有时它可能是一种危及生命的疾病。病因众多，共同特征是血管通透性增加，使液体从血管床扩散或外渗到间质间隙。AE的严重程度与病因、身体部位及累及范围有关。我们在此报告两例非常罕见的病例，其特征为AE从左颈部区域经纵隔全长及轴位后腹膜延伸至骨盆的大规模发作。通过CT确诊。第一例发现与药物摄入有关，第二例表现为特发性。
