Ciccarese Zoé, Byl David, Scavee Vincent
Department of Vascular surgery, Department of Radiology, Clinique St-Pierre, University affiliated hospital (Université catholique de Louvain), 1340 Ottignies/Louvain-la-Neuve, Belgium.
Radiol Case Rep. 2022 Mar 2;17(5):1370-1375. doi: 10.1016/j.radcr.2022.02.009. eCollection 2022 May.
Dissection of the common hepatic artery is a rare cause of acute abdomen. In this case report, we discuss a 58-year-old woman who presented with severe epigastric and back pain, for which she had an abdominal computed tomography (CT) scan. On CT images, a dissection of the common hepatic artery, extending to its right and left dividing branches and a diffusely pathological aspect of the hepatic and digestive arterial network was noted. A diagnosis of extensive fibromuscular dysplasia (FMD) was suggested. FMD is a non-atherosclerotic, non-inflammatory arterial disease that most commonly involves the renal and extracranial carotid arteries, but almost all arterial beds may be affected. There is a high prevalence of aneurysm and dissection among patients with FMD.
肝总动脉夹层是急性腹痛的罕见病因。在本病例报告中，我们讨论一名58岁女性，她因严重的上腹部和背部疼痛就诊，为此进行了腹部计算机断层扫描（CT）。在CT图像上，发现肝总动脉夹层延伸至其左右分支，并且肝和消化动脉网络呈现弥漫性病变。提示诊断为广泛性纤维肌发育不良（FMD）。FMD是一种非动脉粥样硬化、非炎症性动脉疾病，最常累及肾动脉和颅外颈动脉，但几乎所有动脉床都可能受累。FMD患者中动脉瘤和夹层的患病率很高。
