WordNet
- the muscles of the abdomen (同)abdominal_muscle, ab
- of or relating to or near the abdomen; "abdominal muscles"
- any disease of the throat or fauces marked by spasmodic attacks of intense suffocative pain
PrepTutorEJDIC
- (比較変化なし)腹の,腹部の
- アンギナ(のどの炎症に関する諸病気) / =angina pectoris
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/11/18 02:21:30」(JST)
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Abdominal angina |
Classification and external resources |
ICD-10 |
K55 |
ICD-9-CM |
557.1 |
Abdominal angina is abdominal pain after eating that occurs in individuals with ongoing poor blood supply to their small intestines known as chronic mesenteric ischemia.[1] The term angina is used in reference to angina pectoris, a similar symptom due to obstruction of the coronary artery. The American Heritage Stedman's Medical Dictionary defines abdominal angina as "Intermittent abdominal pain, frequently occurring at a fixed time after eating, caused by inadequacy of the mesenteric circulation. Also called intestinal angina."
Contents
- 1 Pathophysiology
- 2 Frequency
- 3 Clinical
- 4 Treatment
- 5 See also
- 6 References
Pathophysiology
The pathophysiology is similar to that seen in angina pectoris and intermittent claudication. The most common cause of abdominal angina is atherosclerotic vascular disease, where the occlusive process commonly involves the ostia and the proximal few centimeters of the mesenteric vessels. It can be associated with:
- antiphospholipid syndrome[4]
Frequency
- Internationally: Extremely rare. True incidence is unknown
- Race: No data available
- Sex: Females outnumber males by approximately 3 to 1[citation needed]
- Age: Mean age of affected individuals is slightly older than 60 years[citation needed]
Clinical
- Hallmark of condition: Disabling midepigastric or central abdominal pain within 10–15 minutes after eating.[citation needed]
- Physical examination: The abdomen typically is scaphoid and soft, even during an episode of pain. Patients present with stigmata of weight loss and signs of peripheral vascular disease, particularly aortoiliac occlusive disease, may be present.
- Causes: Smoking is an associated risk factor. In most series, approximately 75-80% of patients smoke.[citation needed]
Treatment
Stents have been used in the treatment of abdominal angina.[5][6]
See also
- Abdominal pain
- Ischemic colitis
References
- ^ Kapadia S, Parakh R, Grover T, Agarwal S (2005). "Side-to-side aorto-mesenteric anastomosis for management of abdominal angina". Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology 24 (6): 256–7. PMID 16424623.
- ^ deVries H, Wijffels RT, Willemse PH; et al. (2005). "Abdominal angina in patients with a midgut carcinoid, a sign of severe pathology". World journal of surgery 29 (9): 1139–42. doi:10.1007/s00268-005-7825-x. PMID 16086212.
- ^ Ingu A, Morikawa M, Fuse S, Abe T (2003). "Acute occlusion of a simple aortic coarctation presenting as abdominal angina". Pediatric cardiology 24 (5): 488–9. doi:10.1007/s00246-002-0381-3. PMID 14627320.
- ^ Choi BG, Jeon HS, Lee SO, Yoo WH, Lee ST, Ahn DS (2002). "Primary antiphospholipid syndrome presenting with abdominal angina and splenic infarction". Rheumatol. Int. 22 (3): 119–21. doi:10.1007/s00296-002-0196-9. PMID 12111088.
- ^ Senechal Q, Massoni JM, Laurian C, Pernes JM (2001). "Transient relief of abdominal angina by Wallstent placement into an occluded superior mesenteric artery". The Journal of cardiovascular surgery 42 (1): 101–5. PMID 11292915.
- ^ Busquet J (1997). "Intravascular stenting in the superior mesenteric artery for chronic abdominal angina". Journal of endovascular surgery : the official journal of the International Society for Endovascular Surgery 4 (4): 380–4. doi:10.1583/1074-6218(1997)004<0380:ISITSM>2.0.CO;2. ISSN 1074-6218. PMID 9418203.
UpToDate Contents
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English Journal
- Postpartum thrombotic complication in a patient with paroxysmal nocturnal hemoglobinuria.
- Gessoni G1, Canistro R, Bergamini L, Valverde S, Gessoni F, Nani G, Beggio S, Spillare P, Tregnaghi A.
- Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis.Blood Coagul Fibrinolysis.2015 Jun;26(4):458-63. doi: 10.1097/MBC.0000000000000250.
- Paroxysmal nocturnal hemoglobinuria (PNH) is a clonal nonneoplastic hematopoietic stem cell disease characterized by an acquired mutation of the PIG-A gene with reduction or absence of CD55 and CD59. The absence of these proteins renders PNH erythrocytes susceptible to complement-mediated hemolysis.
- PMID 25688459
- Diurnal and twenty-four hour patterning of human diseases: cardiac, vascular, and respiratory diseases, conditions, and syndromes.
- Smolensky MH1, Portaluppi F2, Manfredini R2, Hermida RC3, Tiseo R2, Sackett-Lundeen LL4, Haus EL4.
- Sleep medicine reviews.Sleep Med Rev.2015 Jun;21:3-11. doi: 10.1016/j.smrv.2014.07.001. Epub 2014 Jul 18.
- Various medical conditions, disorders, and syndromes exhibit predictable-in-time diurnal and 24 h patterning in the signs, symptoms, and grave nonfatal and fatal events, e.g., respiratory ones of viral and allergic rhinorrhea, reversible (asthma) and non-reversible (bronchitis and emphysema) chron
- PMID 25129838
- Prevalence and severity of asymptomatic coronary and carotid artery disease in patients with abdominal aortic aneurysm.
- Marsico F1, Giugliano G1, Ruggiero D1, Parente A1, Paolillo S1, Guercio LD2, Esposito G1, Trimarco B1, Filardi PP3.
- Angiology.Angiology.2015 Apr;66(4):360-4. doi: 10.1177/0003319714540319. Epub 2014 Jun 25.
- We evaluated the prevalence and severity of occult coronary artery disease (CAD) and cerebrovascular disease (CeVD) in patients with abdominal aortic aneurysm (AAA). We studied 100 consecutive patients with no history of CAD, normal electrocardiogram, normal systolic function, and no angina or dyspn
- PMID 24965380
Japanese Journal
- 森岡 広嗣,三木 明寛,吉谷 新一郎
- 日本大腸肛門病学会雑誌 68(4), 232-238, 2015
- 症例は82歳,男性.血便を主訴に当院を受診.貧血の進行を認め精査加療目的で入院となった.狭心症の診断でクロピドグレル硫酸塩を内服していた.血液検査では軽度の貧血を認めた.腹部超音波検査では虫垂に多発憩室を認め,腹部CT造影検査で虫垂内にextravasationを認めたため緊急大腸内視鏡検査を施行した.虫垂口から持続的な出血を認めたが観察範囲には明らかな出血源はなく,クリップによる内視鏡的止血術を …
- NAID 130005063188
- 腹部アンギーナに対して上腸間膜動脈血行再建術を施行した1例
- 阪口 正則,村上 忠弘,石川 巧,南村 弘佳
- 日本心臓血管外科学会雑誌 44(2), 108-111, 2015
- 症例は69歳,女性.食後の腹痛および血便を認め,下部消化管内視鏡検査で虚血性腸炎が疑われた.腹部造影CT検査で上腸間膜動脈の起始部閉塞による腹部アンギーナと診断された.造影CT検査では,胸腹部大動脈および腹部大動脈に壁在血栓を伴う拡大と高度の大動脈壁石灰化を認め,また,両側の総腸骨動脈にも高度の狭窄を認めた.手術は,大伏在静脈グラフトを用い,腹部の主要な分枝動脈で唯一起始部から末梢まで狭窄を認めな …
- NAID 130005062376
- 青山 広希,湯浅 典博,竹内 英司,後藤 康友,三宅 秀夫,永井 英雅,服部 正興,宮田 完志,藤野 雅彦
- 日本消化器外科学会雑誌 48(1), 38-45, 2015
- 症例は68歳の男性で,高血圧症,狭心症,慢性心不全,高脂血症,閉塞性動脈硬化症に対する左腋窩-両側大腿動脈バイパス術,左腎動脈狭窄に対する左腎摘出術,慢性腎不全の既往を有し,抗血小板剤を含む内服治療が行われていた.右下腹部痛を主訴に当院を受診し,CTで門脈ガスと横行結腸の造影不良を認め,下部消化管内視鏡検査で右側結腸の3か所に壊死を認めた.拡大結腸右半切除術を施行し,7日間のICU管理を経て24 …
- NAID 130004908160
Related Links
- Abdominal angina is defined as the postprandial pain that occurs in individuals with sufficient mesenteric vascular occlusive disease such that blood flow cannot increase enough to meet visceral demands. The mechanism is believed to be similar to the angina pectoris that occurs in individuals with ...
- 腹部アンギーナ abdominal angina 「概念」 物理的な圧迫による慢性の血流障害のこと。 「病因」 動脈硬化、大動脈炎、線維筋性肥厚、動脈瘤 「症状」 腹痛(食後15~30分・食後の運動で増悪) 体重減少(食事摂取に恐怖感を抱く ...
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