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腹膜后出血影像学检查显示正中弓状韧带综合征。

Imaging of retroperitoneal haemorrhage revealing median arcuate ligament syndrome.

作者信息

El Hassani Younes, Haloua Meriem, Alami Badreeddine, Boubbou Meryem, Maaroufi Mustapha, Lamrani Moulay Youssef Alaoui

机构信息

Department of Radiology, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdellah University, Hassan II University Hospital, Fez, Morocco.

出版信息

SA J Radiol. 2021 Jan 15;25(1):1993. doi: 10.4102/sajr.v25i1.1993. eCollection 2021.

DOI:10.4102/sajr.v25i1.1993
PMID:33824741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8008131/
Abstract

Coeliac artery compression stenosis caused by the median arcuate ligament can lead to aneurysm formation in the pancreatico-duodenal arteries that can eventually result in a spontaneous rupture leading to retroperitoneal haemorrhage. In this case series, we describe the cases of three patients, all presenting with sudden epigastric pain, diagnosed as spontaneous haematoma, complicating a median arcuate ligament syndrome.

摘要

由正中弓状韧带引起的腹腔干压迫性狭窄可导致胰十二指肠动脉形成动脉瘤,最终可能导致自发性破裂,进而引起腹膜后出血。在本病例系列中,我们描述了三名患者的病例,他们均表现为突发上腹部疼痛,被诊断为自发性血肿,这是正中弓状韧带综合征的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ab/8008131/a0e90de5c0dd/SAJR-25-1993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ab/8008131/72af1e2d40ac/SAJR-25-1993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ab/8008131/343a3f6cdb18/SAJR-25-1993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ab/8008131/a0e90de5c0dd/SAJR-25-1993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ab/8008131/72af1e2d40ac/SAJR-25-1993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ab/8008131/343a3f6cdb18/SAJR-25-1993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22ab/8008131/a0e90de5c0dd/SAJR-25-1993-g003.jpg

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本文引用的文献

1
Spontaneous bleeding of the inferior pancreatic-duodenal artery in median arcuate ligament syndrome: do not miss the diagnosis.胰十二指肠下动脉在正中弓状韧带综合征中的自发性出血:勿漏诊。
Oxf Med Case Reports. 2019 Jul 1;2019(7). doi: 10.1093/omcr/omz067.
2
Median arcuate ligament syndrome and aneurysm in the pancreaticoduodenal artery detected by retroperitoneal hemorrhage: A case report.腹膜后出血检出的正中弓状韧带综合征与胰十二指肠动脉瘤:一例报告
Clin Case Rep. 2018 Jun 17;6(8):1496-1500. doi: 10.1002/ccr3.1643. eCollection 2018 Aug.
3
Pancreaticoduodenal artery aneurysms due to median arcuate ligament syndrome: what we need to know.
由正中弓状韧带综合征引起的胰十二指肠动脉瘤:我们需要了解的内容。
Surg Radiol Anat. 2018 Apr;40(4):401-405. doi: 10.1007/s00276-017-1950-8. Epub 2017 Dec 5.
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The hooked proximal celiac artery.钩形的腹腔干近端。
Abdom Radiol (NY). 2018 Mar;43(3):753-754. doi: 10.1007/s00261-017-1245-x.
5
Aorto-hepatic bypass graft for repair of an inferior pancreatico-duodenal artery aneurysm associated with coeliac axis occlusion: A case report.用于修复与腹腔干闭塞相关的胰十二指肠下动脉瘤的主动脉-肝旁路移植术:病例报告
Int J Surg Case Rep. 2016;28:131-134. doi: 10.1016/j.ijscr.2016.09.035. Epub 2016 Sep 26.
6
Ruptured Pancreaticoduodenal Artery Aneurysms Associated with Celiac Stenosis Caused by the Median Arcuate Ligament: A Poorly Known Etiology of Acute Abdominal Pain.与正中弓状韧带导致的腹腔干狭窄相关的胰十二指肠动脉破裂性动脉瘤:一种鲜为人知的急性腹痛病因。
Eur J Vasc Endovasc Surg. 2016 Feb;51(2):295-301. doi: 10.1016/j.ejvs.2015.10.025. Epub 2015 Dec 8.
7
Imaging findings and clinical features of abdominal vascular compression syndromes.腹部血管压迫综合征的影像学表现和临床特征。
AJR Am J Roentgenol. 2014 Jul;203(1):29-36. doi: 10.2214/AJR.13.11598.
8
Celiac artery compression syndrome: an experience in a single institution in taiwan.腹腔动脉压迫综合征:台湾单中心经验。
Gastroenterol Res Pract. 2012;2012:935721. doi: 10.1155/2012/935721. Epub 2012 Sep 4.
9
Between a rock and a hard place: clinical and imaging features of vascular compression syndromes.进退维谷:血管压迫综合征的临床和影像学特征。
Radiographics. 2012 Jan-Feb;32(1):E33-49. doi: 10.1148/rg.321115011.
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