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新冠病毒感染后导致内脏动脉破裂的单器官血管炎：一例报告

Single-Organ Vasculitis Following COVID-19 Infection Resulting in Visceral Arterial Rupture: A Case Report.

作者信息

Saito Yasutaka, Irabu Shinichiro, Yamamoto Hirotaka

机构信息

Department of Hepatobiliary and Pancreatic Surgery/Acute Care Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, JPN.

出版信息

Cureus. 2025 Jul 5;17(7):e87335. doi: 10.7759/cureus.87335. eCollection 2025 Jul.

DOI:10.7759/cureus.87335
PMID:40765604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12322711/
Abstract

We present the case of a male in his 50s who developed sudden abdominal pain two days after testing positive for coronavirus disease 2019 (COVID-19) and was brought to the emergency department in shock. An emergency laparotomy revealed intraperitoneal hemorrhage due to spontaneous rupture of the right gastroepiploic artery. Histopathological examination revealed necrotizing vasculitis, while systemic causes were excluded. The case was diagnosed as abdominal single-organ vasculitis (SOV) likely triggered by COVID-19. This rare presentation highlights the importance of considering SOV in COVID-19 patients presenting with acute abdomen, as early recognition and intervention are critical to avoid life-threatening hemorrhage.

摘要

我们报告了一例50多岁男性的病例，该患者在新型冠状病毒肺炎（COVID-19）检测呈阳性两天后突发腹痛，并在休克状态下被送往急诊科。急诊剖腹探查显示因右胃网膜动脉自发性破裂导致腹腔内出血。组织病理学检查显示为坏死性血管炎，同时排除了全身性病因。该病例被诊断为可能由COVID-19引发的腹部单器官血管炎（SOV）。这种罕见的表现突出了在出现急腹症的COVID-19患者中考虑SOV的重要性，因为早期识别和干预对于避免危及生命的出血至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/12322711/44d04ced3a90/cureus-0017-00000087335-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/12322711/cf27abda3b16/cureus-0017-00000087335-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/12322711/56e57005ab38/cureus-0017-00000087335-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/12322711/44d04ced3a90/cureus-0017-00000087335-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/12322711/cf27abda3b16/cureus-0017-00000087335-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/12322711/56e57005ab38/cureus-0017-00000087335-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/956c/12322711/44d04ced3a90/cureus-0017-00000087335-i03.jpg

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Cutaneous small vessel vasculitis in the COVID-19 era: a systematic review.新冠疫情时代的皮肤小血管血管炎：一项系统综述
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Single organ hepatic artery vasculitis as an unusual cause of epigastric pain: A case report.单器官肝动脉血管炎作为上腹部疼痛的罕见病因：一例报告。
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Arthritis Rheum. 2013 Jan;65(1):1-11. doi: 10.1002/art.37715.
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