ABSTRACT
Vascular compression syndromes arise when a vessel in a tight anatomic space is entrapped by another structure, resulting in diverse symptoms for which different imaging tests are used to diagnose. Radiologists need to be familiar with vascular compression syndromes and to be able to identify their most representative findings. This paper aims to review the principal symptoms of vascular compression, describing and illustrating the key findings on Doppler ultrasonography that enable accurate diagnosis and guide further workup, avoiding unnecessary invasive tests and pointing to the appropriate treatment.
Subject(s)
Median Arcuate Ligament Syndrome , Angiography , Celiac Artery/diagnostic imaging , Constriction, Pathologic/diagnosis , Constriction, Pathologic/therapy , Humans , Ultrasonography, DopplerABSTRACT
Los síndromes de compresión vascular consisten en el atrapamiento de un vaso por otra estructura en un espacio anatómico reducido, lo que provoca sintomatología diversa y para cuyo diagnóstico se emplean diferentes pruebas de imagen. Es importante familiarizarse con este tipo de patología y ser capaces de identificar sus hallazgos más representativos. El objetivo de este artículo es revisar los principales síndromes de compresión vascular, aportando datos clave de hallazgos en la ecografía Doppler que permitan establecer un diagnóstico acertado, evitar otras pruebas más agresivas o seleccionar aquellos pacientes que las requieran y orientar el tratamiento adecuado.(AU)
Vascular compression syndromes arise when a vessel in a tight anatomic space is entrapped by another structure, resulting in diverse symptoms for which different imaging tests are used to diagnose. Radiologists need to be familiar with vascular compression syndromes and to be able to identify their most representative findings. This paper aims to review the principal symptoms of vascular compression, describing and illustrating the key findings on Doppler ultrasonography that enable accurate diagnosis and guide further workup, avoiding unnecessary invasive tests and pointing to the appropriate treatment.(AU)
Subject(s)
Humans , Male , Female , Ultrasonography, Doppler , Angiography , Celiac Artery/diagnostic imaging , Constriction, Pathologic/diagnosis , Constriction, Pathologic/therapy , Thoracic Outlet Syndrome , Renal Nutcracker Syndrome , Median Arcuate Ligament Syndrome , Popliteal Artery , RadiologyABSTRACT
Se presenta un caso de hernia de Spiegel que contiene un liposarcoma intraabdominal en una paciente de 49 años de edad. Se describen los síntomas clínicos, datos de la exploración física, exámenes complementarios y técnicas de diagnóstico por imagen. Se comentan los hallazgos quirúrgicos, el diagnóstico anatomopatológico y la evolución clínica
We present a case of Spigelian hernia containing an intraabdominal liposarcoma observed in a 49-year-old patient. We describe the clinical symptoms and the findings at physical examination, complementary tests, and diagnostic imaging. We comment on the surgical findings, histological diagnosis, and clinical evolution
Subject(s)
Female , Middle Aged , Humans , Liposarcoma/diagnosis , Abdominal Neoplasms/diagnosis , Soft Tissue Neoplasms/diagnosis , CA-125 Antigen/analysis , Diagnosis, Differential , Diagnostic Imaging/methodsABSTRACT
We present a case of Spigelian hernia containing an intraabdominal liposarcoma observed in a 49-year-old patient. We describe the clinical symptoms and the findings at physical examination, complementary tests, and diagnostic imaging. We comment on the surgical findings, histological diagnosis, and clinical evolution.