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胸主动脉瘤的局限性破裂：吞咽困难的一种罕见且危及生命的病因。

Contained Rupture of a Thoracic Aortic Aneurysm: A Rare and Life-Threatening Cause of Dysphagia.

作者信息

Kestemont Marion, Gonze Aurélien, Ngueke Nguimgo Gaëlle Gaëlle, Moorthamers Sofie, Vermylen Olivier

机构信息

Emergency Department, Hospital Centre EpiCura, Mons, BEL.

Intensive Care Unit, Erasmus Hospital, Brussels, BEL.

出版信息

Cureus. 2024 Mar 20;16(3):e56517. doi: 10.7759/cureus.56517. eCollection 2024 Mar.

DOI:10.7759/cureus.56517
PMID:38646362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11026946/
Abstract

Dysphagia is commonly seen in the elderly and has both benign and malignant causes. A difficulty in swallowing due to the esophageal compression by the aorta, or dysphagia aortica, is a rare entity, little described in literature. However, diagnostic error or diagnostic and treatment delays of aortic dysphagia can be fatal. Herein, we report a case of dysphagia aortica caused by the contained rupture of a descending aneurysmatic thoracic aorta, presenting at the emergency department with acute dysphagia and diffuse chest pain, successfully treated by thoracic endovascular aneurysm repair.

摘要

吞咽困难在老年人中很常见，其病因既有良性的也有恶性的。由于主动脉压迫食管导致的吞咽困难，即主动脉性吞咽困难，是一种罕见的病症，文献中鲜有描述。然而，主动脉性吞咽困难的诊断错误或诊断及治疗延迟可能是致命的。在此，我们报告一例因降主动脉瘤夹层破裂导致的主动脉性吞咽困难病例，该患者在急诊科表现为急性吞咽困难和弥漫性胸痛，经胸主动脉腔内修复术成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf20/11026946/e2abbc8cf8eb/cureus-0016-00000056517-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf20/11026946/3acfaf586d79/cureus-0016-00000056517-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf20/11026946/e2abbc8cf8eb/cureus-0016-00000056517-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf20/11026946/3acfaf586d79/cureus-0016-00000056517-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf20/11026946/e2abbc8cf8eb/cureus-0016-00000056517-i02.jpg

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本文引用的文献

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Dysphagia aortica.主动脉性吞咽困难
Eur Surg. 2022;54(5):228-239. doi: 10.1007/s10353-021-00741-9. Epub 2021 Nov 9.
2
Multifactorial dysphagia: Azygos vein aneurysm (AVA) and esophagogastric junction outflow obstruction (EGJOO).多因素吞咽困难：奇静脉动脉瘤（AVA）和食管胃交界部流出道梗阻（EGJOO）。
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Recent advances in dysphagia management.吞咽困难管理的最新进展。
F1000Res. 2019 Aug 29;8. doi: 10.12688/f1000research.18900.1. eCollection 2019.
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An Unusual Cause of Dysphagia in an Elderly Woman: Dysphagia Megalatriensis.一位老年女性吞咽困难的不寻常病因：巨食管性吞咽困难。
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