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大动脉炎中肺动脉狭窄在灌注肺扫描上酷似肺栓塞:一例报告

Pulmonary artery stenosis in Takayasu disease mimicking pulmonary embolism on perfusion lung scan: A case report.

作者信息

Sebbar Chaimae, Hiroual Soufiane, Kouassi Nathalie, Bsiss Mohamed Aziz, Matrane Aboubaker

机构信息

Mohamed VI University Hospital, Nuclear Medicine Department, Cadi Ayyad University, Marrakesh, Morocco.

TTA University Hospital, Nuclear Medicine Department, Abdelmalek Esaadi University, Tangier, Morocco.

出版信息

Front Nucl Med. 2023 Feb 10;3:1122046. doi: 10.3389/fnume.2023.1122046. eCollection 2023.

Abstract

Lung scan is an accurate and noninvasive tool for evaluating the distribution of lung perfusion. We present a rare case of total absence of perfusion on lung scan to the right lung with two contralateral defects due to severe occlusion of the right pulmonary artery, as well as segmental arteries in the left lung in a young female woman diagnosed with Takayasu Arteritis. We highlight the similarities of the findings between pulmonary arteritis in Takayasu disease and thromboembolic disease and the importance of careful interpretation of perfusion lung scan in order to avoid misdiagnosis that could endanger the patient's life.

摘要

肺部扫描是评估肺灌注分布的一种准确且无创的工具。我们报告了一例罕见病例,一名诊断为大动脉炎的年轻女性,其肺部扫描显示右肺完全无灌注,同时左肺有两个对侧缺损,这是由于右肺动脉严重闭塞以及左肺段动脉闭塞所致。我们强调了大动脉炎中的肺动脉炎与血栓栓塞性疾病之间的发现相似性,以及仔细解读灌注肺扫描以避免可能危及患者生命的误诊的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a69/11440982/8ede65dc8b93/fnume-03-1122046-g001.jpg

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