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CT诊断正中弓状韧带压迫综合征合并自发性孤立性肠系膜上动脉夹层的临床案例分析

韩雪 赵金勇 王朝晖 耿丹丹

韩雪, 赵金勇, 王朝晖, 等. CT诊断正中弓状韧带压迫综合征合并自发性孤立性肠系膜上动脉夹层的临床案例分析[J]. CT理论与应用研究, 2023, 32(4): 567-572. DOI: 10.15953/j.ctta.2023.007
引用本文: 韩雪, 赵金勇, 王朝晖, 等. CT诊断正中弓状韧带压迫综合征合并自发性孤立性肠系膜上动脉夹层的临床案例分析[J]. CT理论与应用研究, 2023, 32(4): 567-572. DOI: 10.15953/j.ctta.2023.007
HAN X, ZHAO J Y, WANG Z H, et al. CT Diagnosis of Median Arcuate Ligament Compression Syndrome with Spontaneous Isolated Superior Mesenteric Artery Dissection: A Case Report[J]. CT Theory and Applications, 2023, 32(4): 567-572. DOI: 10.15953/j.ctta.2023.007. (in Chinese)
Citation: HAN X, ZHAO J Y, WANG Z H, et al. CT Diagnosis of Median Arcuate Ligament Compression Syndrome with Spontaneous Isolated Superior Mesenteric Artery Dissection: A Case Report[J]. CT Theory and Applications, 2023, 32(4): 567-572. DOI: 10.15953/j.ctta.2023.007. (in Chinese)

CT诊断正中弓状韧带压迫综合征合并自发性孤立性肠系膜上动脉夹层的临床案例分析

doi: 10.15953/j.ctta.2023.007
详细信息
    作者简介:

    韩雪:女,医学影像专业硕士,首都医科大学附属北京中医医院放射科主任医师,主要从事CT诊断工作,E-mail:hanxue197266@126.com

    赵金勇:男,首都医科大学附属北京中医医院放射科主任医师,主要从事CT诊断工作,E-mail:kxyedd2013@sina.cn

    通讯作者:

    男,首都医科大学附属北京中医医院放射科主任医师,主要从事CT诊断工作,E-mail:kxyedd2013@sina.cn

  • 中图分类号: R  814

CT Diagnosis of Median Arcuate Ligament Compression Syndrome with Spontaneous Isolated Superior Mesenteric Artery Dissection: A Case Report

  • 摘要: 本文探讨1例正中弓状韧带压迫综合征合并肠系膜上动脉夹层的CT表现及转归,多层螺旋CT血管成像三维重建能清晰地观察到腹腔干狭窄程度、侧支循环建立、肠系膜上动脉夹层转归和重塑的动态过程,有助于判断病情,指导临床治疗。

     

  • 图  1  入院当日MDCTA显示正中弓状韧带压迫综合征并肠系膜上动脉夹层

    Figure  1.  MDCTA on the admission day shows median arcuate ligament compression syndrome with superior mesenteric artery dissection

    图  2  入院第五日矢状位MPR重建示夹层内膜片模糊,假腔范围增大,形态不规则

    Figure  2.  Sagittal MPR reconstruction on the fifth day post admission shows blurred diaphragms and enlarged pseudolumen, with irregular morphology

    图  3  二个月后矢状位MPR重建示假腔呈囊袋状,腔内血栓明显吸收

    Figure  3.  Sagittal MPR reconstruction two months post admission shows a bag-like pseudolumen with obvious thrombus absorption

    图  4  8.5个月后薄层MIP(a)和VR(b)重建示假腔缩小,血栓完全吸收,假腔右侧壁侧支血管较前增粗(弯箭头)

    Figure  4.  After 8.5 months of admission, thin-layer MIP (a) and VR (b) reconstruction show reduced pseudolumen, complete thrombus absorption, and dilatated collateral vessels in the right lateral wall of the pseudolumen (curved arrow)

    图  5  25个月后VR重建示假腔右侧壁侧支血管(弯箭头)进一步增粗,夹层重塑

    Figure  5.  VR reconstruction 25 months post admission shows further dilatation of collateral vessels in the right lateral wall of the pseudolumen (curved arrow) and remodeling of the dissection

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出版历程
  • 收稿日期:  2023-01-15
  • 修回日期:  2023-02-12
  • 录用日期:  2023-02-28
  • 网络出版日期:  2023-04-04
  • 刊出日期:  2023-07-31

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