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伴有多血管受累的正中弓状韧带综合征:螺旋CT血管造影诊断

Median arcuate ligament syndrome with multivessel involvement: diagnosis with spiral CT angiography.

作者信息

Kopecky K K, Stine S B, Dalsing M C, Gottlieb K

机构信息

Department of Radiology, Indiana University School of Medicine, Indiana University Hospital, Indianapolis 46202-5253, USA.

出版信息

Abdom Imaging. 1997 May-Jun;22(3):318-20. doi: 10.1007/s002619900199.

Abstract

Intestinal angina may be caused by compression of the celiac artery by the median arcuate ligament of the diaphragm. Aortography can suggest the diagnosis, but the diaphragm cannot be visualized by this examination. We report a symptomatic woman in whom spiral computed tomography-guided angiography demonstrated stenosis of the celiac artery, superior mesenteric artery, and both renal arteries due to diaphragmatic compression. Surgery was beneficial.

摘要

肠绞痛可能由膈肌正中弓状韧带压迫腹腔动脉引起。主动脉造影可提示诊断,但此项检查无法显示膈肌。我们报告一例有症状的女性患者,螺旋计算机断层扫描引导下血管造影显示,由于膈肌压迫,腹腔动脉、肠系膜上动脉和双侧肾动脉均出现狭窄。手术治疗有效。

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