一名老年糖尿病透析患者被诊断为气肿性膀胱炎的肝门静脉气体(HPVG)罕见病例。

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Shahryar Rahmani, Niloofar Ayoobi Yazdi, Mohammadreza Tahamtan, Tayebe Ostadian
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引用次数: 0

摘要

肝门静脉积气(HPVG)是指门静脉及其分支中存在气泡。传统上,由于其主要病因是肠缺血,因此被认为是一种致命的疾病。然而,随着诊断工具的广泛应用,人们逐渐认识到这种病症的病因多种多样,可能包括但不限于肠坏死。在此,我们介绍一例罕见的 HPVG 病例,患者是一名患有糖尿病的老年透析患者,最初是通过超声波和 CT 扫描确诊的。患者在三周前开始出现腹痛、排尿困难、少尿和其他泌尿系统症状。在考虑了所有诊断工具并将其与患者的病史、临床发现和随访相关联后,HPVG 的根本原因被确定为气肿性膀胱炎。我们的结论是,由于像气肿性膀胱炎这样的罕见疾病也会导致 HPVG,因此在初筛检查中出现 HPVG 时应进行全面检查以确定病因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A rare case of hepatic portal venous gas (HPVG) diagnosed as emphysematous cystitis in an elderly diabetic dialysis patient.

Hepatic portal venous gas (HPVG) is the presence of air bubbles in the portal vein and its branches. Traditionally it was considered a lethal condition because the main etiology was bowel ischemia. However, with the extensive use of diagnostic tools, it became clear that the causes of this condition are diverse and may include, but are not limited to, bowel necrosis. Here, we present a rare case of HPVG in an elderly dialysis patient with diabetes mellitus, initially diagnosed by ultrasound and CT scan. Our patient experienced abdominal pain, dysuria, oliguria, and other urinary symptoms starting three weeks prior. After considering all diagnostic tools and correlating them with the patient's history, clinical findings, and follow-up, the underlying cause of the HPVG was determined to be emphysematous cystitis. We concluded that the presence of HPVG in the initial screening test should prompt a comprehensive investigation to determine the cause, as a rare condition like emphysematous cystitis can result in HPVG.

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来源期刊
Journal of Ultrasound
Journal of Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
4.10
自引率
15.00%
发文量
133
期刊介绍: The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.
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