肠系膜上动脉栓塞致肠壁积气伴门静脉积气临床及影像表现(附1例报告)  

One Case of Clinical and Imaging Manifestations of Intestinal Wall Pneumatosis with Portal Vein Pneumatosis Caused by Superior Mesenteric Artery Embolization

作　　者：刘小英 侯森 孙庆举[3] LIU Xiao-ying;HOU Sen;SUN Qing-ju(Medical Imaging Department,Heze Hospital of Traditional Chinese Medicine,Heze 274000 Shandong Province,China;Bultrasound Department,Heze Hospital of Traditional Chinese Medicine,Heze 274000,Shandong Province,China;Medical Imaging Department of Shandong Provincial Hospital,Jinan 250021,Shandong Province,China)

机构地区：[1]菏泽市中医医院医学影像科,山东菏泽274000 [2]菏泽市中医医院超声科,山东菏泽274000 [3]山东省立医院医学影像科,山东济南250021

出　　处：《罕少疾病杂志》2024年第8期7-8,共2页Journal of Rare and Uncommon Diseases

摘　　要：肠壁积气伴门静脉积气是一种少见的影像学征象,可由多种原因引起,其中肠系膜上动脉栓塞是临床上最常见且最危急的病因,出现该征象往往提示肠壁损伤或肠壁坏死;本例患者老年男性,突发腹痛、烦躁伴恶心、呕吐,CT示多发肠壁积气伴门静脉积气,经手术证实为肠系膜上动脉栓塞并大部区域肠管坏死。Intestinal wall pneumatosis with portal vein pneumatosis is a rare imaging sign,which can be caused by many reasons.Among them,superior mesenteric artery embolism is the most common and critical cause in clinic,which often indicates intestinal wall injury or necrosis.This patient is an elderly male with sudden abdominal pain,irritability and nausea and vomiting.CT showed multiple intestinal wall pneumatosis with portal vein pneumatosis,which was confirmed by surgery as superior mesenteric artery embolism and intestinal necrosis in most areas.

关 键 词：肠壁积气 门静脉积气 肠系膜上动脉栓塞 肠壁坏死 

分 类 号：R543[医药卫生—心血管疾病]