Department of Radiology, University of Texas Health, San Antonio, TX, USA.
Department of Radiology, St. Vincent's Medical Center, Bridgeport, CT, USA.
Emerg Radiol. 2020 Oct;27(5):513-526. doi: 10.1007/s10140-020-01778-1. Epub 2020 Apr 19.
This is a review article on cross-sectional imaging spectrum of abdominal and pelvic vascular compression syndromes in emergency settings, discussing about pathophysiology, clinical presentation, imaging findings, and appropriate management of such entities. It is important to understand the overlap of imaging findings with common anatomic variations. Equally, the subtle imaging features of abdominal vascular compression syndrome may be equivocal for interpreting radiologist. Early recognition is important, in order to refer patients for appropriate treatment. Cross-sectional imaging with computed tomography (CT) and magnetic resonance imaging (MRI) is usually performed to detect such abdominal vascular compression syndromes. For comprehensive review, the utility of color Doppler in evaluation and diagnosis is also emphasized in each section. Percutaneous angiography is usually considered as a reference standard for the diagnosis but limited due to its invasive nature. Surgical and endovascular management of these vascular compression syndromes is briefly described.
这是一篇关于急诊腹部和盆腔血管压迫综合征的影像学表现综述文章，讨论了这些疾病的病理生理学、临床表现、影像学表现以及恰当的处理方法。了解影像学表现与常见解剖变异之间的重叠是很重要的。同样，腹部血管压迫综合征的细微影像学特征可能对放射科医生的解读存在疑问。早期识别很重要，以便为患者提供适当的治疗。通常采用计算机断层扫描（CT）和磁共振成像（MRI）进行横断面成像以检测这些腹部血管压迫综合征。为了进行全面综述，在每个部分还强调了彩色多普勒在评估和诊断中的作用。经皮血管造影通常被认为是诊断的参考标准，但由于其有创性而受到限制。简要描述了这些血管压迫综合征的手术和血管内处理方法。
