Abdominal thrombotic and ischemic manifestations of the antiphospholipid antibody syndrome: CT findings in 42 patients.

作者: Shaifali Kaushik , Michael P. Federle , Peter H. Schur , Madhavan Krishnan , Stuart G. Silverman

DOI: 10.1148/RADIOLOGY.218.3.R01FE43768

关键词:

摘要: PURPOSE: To determine the abdominal computed tomographic (CT) findings in patients with antiphospholipid antibody syndrome (APS). MATERIALS AND METHODS: Retrospective review of medical records from two university centers 1994 through 1997 revealed 215 who had a hypercoagulable state attributed to primary or secondary APS. Abdominal CT these were reviewed for evidence large-vessel occlusion visceral ischemia. RESULTS: In 42 (19.5%) APS (age range, 32–65 years; mean age, years), thromboses ischemic events detected at CT. Twenty-two (52%) major vascular thromboses, including those inferior vena cava (n = 10), portal and superior mesenteric veins (n = 7), splenic vein (n = 4), aorta (n = 1). Thirty-six (86%) ischemia resulting renal infarction (n = 22), bowel (n = 13), (n = 6), pancreatitis (n = 3), hepatic (n = 1), and/or d...

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