关键词: GI bleeding Immunology Portal vein

Mesh : Humans Female Panniculitis, Peritoneal / complications diagnostic imaging diagnosis Portal Vein / diagnostic imaging Esophageal and Gastric Varices / etiology Abdominal Pain / etiology Mesenteric Artery, Superior / diagnostic imaging Prednisolone / therapeutic use administration & dosage Ligation Hematemesis / etiology Mesenteric Vascular Occlusion / etiology diagnostic imaging Adult Tomography, X-Ray Computed

来  源:   DOI:10.1136/bcr-2024-260802

Abstract:
A woman in her 20s presented with haematemesis, post-prandial abdominal pain, weight loss and anaemia. Imaging revealed a non-enhancing mass in the retroperitoneal space along the mesenteric plane, encasing the porto-mesenteric vasculature. Endoscopy showed oesophageal varices. She was diagnosed with sclerosing mesenteritis, causing extrinsic compression of the portal vein and superior mesenteric artery. She underwent endoscopic variceal ligation and received prednisolone and tamoxifen. After 3 months, her post-prandial pain improved, and she did not have further bleeding episodes.
摘要:
一个20多岁的女人出现了吐血,餐后腹痛,体重减轻和贫血。成像显示腹膜后间隙沿肠系膜平面有一个非增强的肿块,包裹肠系膜血管。内镜检查显示食管静脉曲张。她被诊断出患有硬化性肠系膜炎,引起门静脉和肠系膜上动脉的外在压迫。她接受了内镜下静脉曲张结扎术,并接受了泼尼松龙和他莫昔芬。三个月后,她的餐后疼痛有所改善,她没有进一步出血。
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