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肠道血管性水肿:急性腹痛的一种模仿病症。

Intestinal Angioedema: A Mimic of an Acute Abdomen.

作者信息

Pal Nilkanth L, Fernandes Yasmin

机构信息

Department of Radiology, Goa Medical College and Hospital, Bambolim, Goa, IND.

出版信息

Cureus. 2023 Feb 4;15(2):e34619. doi: 10.7759/cureus.34619. eCollection 2023 Feb.

DOI:10.7759/cureus.34619
PMID:36891016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9986968/
Abstract

Visceral angioedema presents with features mimicking an acute abdomen, causing a great challenge in the diagnosis of the disease thus delaying the treatment. A high degree of radiological suspicion and clinical correlation will help in identifying this less-known entity, avoiding unnecessary surgery. CT scanning is the preferred investigation, but concomitant ultrasonography improves the diagnostic efficacy of CT scanning.

摘要

内脏性血管性水肿的表现类似于急腹症,给该病的诊断带来巨大挑战,从而延误治疗。高度的放射学怀疑和临床关联有助于识别这种鲜为人知的病症,避免不必要的手术。CT扫描是首选的检查方法,但同时进行超声检查可提高CT扫描的诊断效能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24a9/9986968/09f205b7772f/cureus-0015-00000034619-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24a9/9986968/bc01c5144fb5/cureus-0015-00000034619-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24a9/9986968/09f205b7772f/cureus-0015-00000034619-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24a9/9986968/bc01c5144fb5/cureus-0015-00000034619-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24a9/9986968/09f205b7772f/cureus-0015-00000034619-i02.jpg

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Allergy. 2016 Jul;71(7):989-96. doi: 10.1111/all.12862. Epub 2016 Mar 17.
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Radiologic manifestations of angioedema.血管性水肿的放射学表现。
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Hereditary angioedema with normal C1 inhibitor.遗传性血管性水肿伴正常 C1 抑制剂。
Immunol Allergy Clin North Am. 2013 Nov;33(4):457-70. doi: 10.1016/j.iac.2013.07.002. Epub 2013 Sep 5.
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"Surgical" abdomen in a patient with chronic lymphocytic leukemia: a case of acquired angioedema.慢性淋巴细胞白血病患者的“手术”腹部:获得性血管性水肿病例。
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