TY -的A2 Exadaktylos Aristomenis k . AU - Squillante,马克·d·盟特鲁希略,安娜AU -诺顿,约瑟夫•AU -邦萨尔Saurabh盟——Dragoo大卫PY - 2021 DA - 2021/02/13 TI - ACE抑制剂诱导小肠的孤立的血管性水肿:一种罕见的并发症常见药物SP - 8853755六世- 2021 AB -血管性水肿皮下或粘膜下组织肿胀是由于毛细管泄漏,漏出的液体进入间质组织。可以是局部或广义的普遍反应称为过敏反应。数以百万计的人在美国和世界各地收到ACEI抗高血压治疗。ACEI会导致血管性水肿的发生率0.7%。我们提出一个40岁的女性开始赖诺普利三天前表示对新诊断高血压。她面对特异性的严重腹痛、恶心和呕吐。她否认呼吸困难或肿胀的身体的任何地方。在考试,她没有面部,嘴唇,舌头、喉咙肿胀。她的腹部是温柔没有保护或刚性。实验室检查是模糊的,除了轻微的白细胞增多。 Computed tomography scan (CT scan) of the abdomen with oral and IV contrast revealed a moderate amount of ascites with diffuse wall thickening, hyperenhancement, and mucosal edema of the entire small bowel. In the absence of any other pathology, matching history, and imaging findings highly suggestive of angioedema, she was diagnosed with isolated small bowel angioedema as a result of ACEI therapy. She was managed conservatively, and lisinopril was discontinued. A week later on follow-up, all her symptoms had resolved, and repeat CT scan showed resolution of all findings. SN - 2090-648X UR - https://doi.org/10.1155/2021/8853755 DO - 10.1155/2021/8853755 JF - Case Reports in Emergency Medicine PB - Hindawi KW - ER -