腸内ポリプの内視切除後のポリペクトミー後症候群の症例
Faheem Anjum1, Ayesha Muneer2, Muhammad Usman3
1Internal Medicine, Salford Royal NHS Foundation Trust, Salford, GBR.
Cureus
|August 22, 2025
まとめ
ポストポリペクトミー症候群 (PPS) は,内視粘膜切除後の穿孔を模倣する希少な合併症である. 早期発見と保守的な治療は 回復の鍵であり 不必要な手術は避けられます
科学分野:
- 胃腸内科
- 手術 の 合併 症
- 医療 症例 の 報告
背景:
- ポストポリペクトミー症候群 (PPS) は,内視ポリペクトミーの珍しい合併症である.
- 腸 perforation に似た症状を呈することがあります.
- 危険因子には,大きなポリプサイズ,熱凝固,直腸の位置が含まれます.
研究 の 目的:
- エンドスコピーによる粘膜切除 (EMR) の後の85歳の女性のPPS症例を報告する.
- PPSと真の腸の穿孔を区別することの重要性を強調します.
- PPSの保守的な管理戦略を強調する
主な方法:
- 経口ポリップのEMRを受けた85歳の女性の症例報告です
- 臨床表現,検査結果,CTスキャンの結果を分析した.
- IV 液体と抗生物質による保守的な治療が開始されました.
主要な成果:
- 患者は発熱と意識の変化を含む PPSに一致する症状を発症した.
- CTスキャンは直腸壁の腫れと 骨盤の液体を明らかにしましたが 穴はありませんでした
- 患者は保守的な治療で72時間以内に完全に回復しました.
結論:
- PPSは早期診断と穿孔からの差異化のために高い臨床的疑念を必要とします.
- PPSの治療には 保守的な非手術療法が有効です
- 危険因子の認識は,不必要な手術を防ぐのに役立ちます.
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