2024-03-28T21:58:30Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02015709
2022-10-31T07:43:03Z
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1642838403551:1642838412624
[症例報告]起立性低血圧を伴った左総腸骨動脈癌の一例
Left Common Iliac Artery Aneurysm with Orthostatic Hypotension : a Case Report
新里, 譲
木村, 頼雄
村谷, 博美
柊山, 幸志郎
草場, 昭
Shinzato, Yuzuru
Kimura, Yorio
Muratani, Hiromi
Fukiyama, Koshiro
Kusaba, Akira
open access
琉球医学会
orthostatic hypotension
common iliac artery aneurysm
head-up tilting test
A 65 year-old male was admitted to our hospital complaining of lightheadness on standing. He had suffered from it for five years. The symptom gradually progressed and he recently experienced an attack of syncope on standing. Passive 30°head-up tilting test revealed an orthostatic hypotension. Wearing of elastic stockings relieved the symptom. A pulsatile mass was palpable in the lower abdomen and an abdominal CT showed aneurysms of the abdominal aorta and the left common iliac artery. After surgical treatment of the aneurysms, the symptom of the orthostatic hypotension was no longer present, and the tilting test repeated showed normal responses of blood pressure and heart rate. The aneurysms might have caused orthostatic hypotension in this case. Although he had no pain or edema on the legs, mechanical compression of the lumbar sympathetic nerve and/or iliac vein might have some role in enhancing the blood pooling on standing.
論文
琉球大学医学部
Faculty of Medicine, University of the Ryukyus
1989
jpn
journal article
VoR
http://hdl.handle.net/20.500.12000/0002015709
https://u-ryukyu.repo.nii.ac.jp/records/2015709
0289-1530
AN10027430
琉球大学医学会雑誌 : 医学部紀要 = Ryukyu medical journal
11
2
100
103
https://u-ryukyu.repo.nii.ac.jp/record/2015709/files/v11p100.pdf