急性肠系膜缺血伴腹部皮肤斑驳。

IF 1.8 Q2 MEDICINE, GENERAL & INTERNAL

Journal of General and Family Medicine Pub Date : 2024-10-06 eCollection Date: 2025-01-01 DOI:10.1002/jgf2.737

Masahiro Yabe, Yuji Nomoto, Hitomi Watanabe

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引用次数: 0

摘要

我们报告一个罕见的病例，一个90岁的妇女与第四期肺癌等待转移到临终关怀谁发展突然腹部和膝盖皮肤斑纹。血液检查和紧急计算机断层扫描显示炎症标志物升高，诊断为急性肠系膜缺血，患者于7小时后去世。皮肤斑驳表明胃肠道血流量减少，并在肠系膜缺血时观察到。腹部皮肤斑驳可能是早期发现的重要物理发现，提示循环衰竭和肠缺血。

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Acute mesenteric ischemia with abdominal skin mottling.

We report a rare case of a 90-year-old woman with Stage IV lung cancer awaiting transfer to hospice care who developed sudden abdominal and knee skin mottling. Elevated inflammatory markers on blood tests and emergent computed tomography led to a diagnosis of acute mesenteric ischemia, and the patient passed away 7 h later. Skin mottling indicates decreased blood flow in the gastrointestinal tract and is observed during mesenteric ischemia. Abdominal skin mottling may serve as an important physical finding that is detected early and suggests circulatory failure and intestinal ischemia.

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来源期刊

Journal of General and Family Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

2.10

自引率

6.20%

发文量

审稿时长

48 weeks