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腹腔干血栓形成——急性腹痛的罕见病因。病例报告。

Celiac Trunk Thrombosis a Rare Cause of Acute Abdomen. Case Presentation.

作者信息

Alharbi Mohammad, Benitez Carlos Y, Alharbi Abdullah M, Alharbi Abdulmajeed M

机构信息

Surgery, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.

Surgery, Hospital Royo Villanova, Zaragoza, ESP.

出版信息

Cureus. 2022 Sep 29;14(9):e29727. doi: 10.7759/cureus.29727. eCollection 2022 Sep.

DOI:10.7759/cureus.29727
PMID:36324364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9617180/
Abstract

Thrombosis of the celiac artery trunk is a rare cause of acute abdominal pain which is associated with high mortality and morbidity if not diagnosed and treated early. We present an unusual case of celiac trunk artery thrombosis associated with aortic thrombosis and partial splenic infarction in a 52-year-old female who presented with acute abdominal pain. Hematological investigations failed to predict any predisposing factors. This case demonstrates the importance of considering such clinical presentation in the differential diagnosis of acute abdomen.

摘要

腹腔干动脉血栓形成是急性腹痛的罕见病因,如果不及早诊断和治疗,会导致高死亡率和高发病率。我们报告了一例不寻常的病例,一名52岁女性出现急性腹痛,伴有腹腔干动脉血栓形成、主动脉血栓形成和部分脾梗死。血液学检查未能预测任何诱发因素。该病例表明,在急性腹痛的鉴别诊断中考虑这种临床表现的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/bb4f007461df/cureus-0014-00000029727-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/62a792949c7b/cureus-0014-00000029727-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/c9bc4682a9dd/cureus-0014-00000029727-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/354a4318cc8e/cureus-0014-00000029727-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/57f6c0d9bf83/cureus-0014-00000029727-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/bb4f007461df/cureus-0014-00000029727-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/62a792949c7b/cureus-0014-00000029727-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/c9bc4682a9dd/cureus-0014-00000029727-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/354a4318cc8e/cureus-0014-00000029727-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/57f6c0d9bf83/cureus-0014-00000029727-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4044/9617180/bb4f007461df/cureus-0014-00000029727-i05.jpg

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本文引用的文献

1
Abdominal Pain Caused by Occlusion of the Celiac Trunk and Superior Mesenteric Artery in Addition to Irritable Bowel Syndrome: Case Series and Literature Review.除肠易激综合征外,由腹腔干和肠系膜上动脉闭塞引起的腹痛:病例系列及文献综述
Cureus. 2021 Jun 17;13(6):e15729. doi: 10.7759/cureus.15729. eCollection 2021 Jun.
2
Celiac artery trunk thrombosis presenting as acute liver failure.表现为急性肝衰竭的腹腔干动脉血栓形成。
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Acute occlusion of the celiac axis and its branches with perforation of gastric fundus and splenic infarction, findings on spiral computed tomography: a case report.
腹腔干及其分支急性闭塞伴胃底穿孔和脾梗死:螺旋计算机断层扫描表现——病例报告
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Systematic review of survival after acute mesenteric ischaemia according to disease aetiology.根据疾病病因对急性肠系膜缺血后生存率的系统评价。
Br J Surg. 2004 Jan;91(1):17-27. doi: 10.1002/bjs.4459.
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Acute superior mesenteric venous thrombosis: one disease or two?急性肠系膜上静脉血栓形成:一种疾病还是两种?
Am J Gastroenterol. 2003 Jun;98(6):1299-304. doi: 10.1111/j.1572-0241.2003.07338.x.
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The natural history of splenic infarction.脾梗死的自然病程。
Surgery. 1986 Oct;100(4):743-50.