关键词: ALP, alkaline phosphatase ALT, alanine transaminase APS, antiphospholipid syndrome AST, aspartate aminotransferase Anti-LKM, anti-liver and kidney microsome Anti-SLA, anti-soluble liver antigen BCS, Budd-Chiari syndrome Budd-Chiari CT CT, computed tomography GGT, gamma-glutamyl transferase HBc, hepatitis B core HBs Ag, hepatitis B surface antigen HCV, hepatitis C virus IVC, inferior vena cava MOIVC MOIVC, membranous obstruction of inferior vena cava MPS, myeloproliferative syndromes MRI, magnetic resonance imaging PT, prothrombin time Supra-hepatic veins TIPS, trans-jugular intra-hepatic portosystemic shunt Ultrasound Vena cava WCC, white count cell Web

来  源:   DOI:10.1016/j.radcr.2022.12.044   PDF(Pubmed)

Abstract:
Epigastric abdominal pain is a common indication for consultation. In the majority of cases, medical history, clinical examination and routine biological exams allow for an easy diagnosis. Sometimes the symptomatology is unusual, in which case it is essential to perform a complete clinical examination and to use various imaging techniques to search for eventual atypical causes. Membranous obstruction of inferior vena cava is a rare cause of such a phenomenon. We describe a Budd-Chiari syndrome caused by membranous obstruction of inferior vena cava in a 66-year-old woman with no medical history as a rare cause of epigastric abdominal pain. We will describe this clinical experience in the light of the literature and point out the contribution of radiological imaging in the diagnosis of this rare pathology.
摘要:
上腹部疼痛是咨询的常见指征。在大多数情况下,病史,临床检查和常规生物检查可以轻松诊断。有时症状异常,在这种情况下,必须进行完整的临床检查,并使用各种成像技术来寻找最终的非典型原因。下腔静脉的膜性阻塞是这种现象的罕见原因。我们描述了一名无病史的66岁女性的下腔静脉膜性阻塞引起的Budd-Chiari综合征,是上腹部腹痛的罕见原因。我们将根据文献描述这种临床经验,并指出放射学成像在这种罕见病理诊断中的贡献。
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