関連する実験動画
Updated: Feb 18, 2026
07:33
A Mouse Model of Intestinal Partial Obstruction
Published on: March 5, 2018
22.7K
隠された網と小腸の阻害:非ステロイド性抗炎症薬 (NSAID) 誘発の膜収縮症
Rhett L Harmon1, Nicholas Cheung1, Robin Dietz2
1Internal Medicine, Olive View-UCLA (University of California Los Angeles) Medical Center, Sylmar, USA.
Cureus
|February 17, 2026
まとめ
膜疾患は,まれなNSAID合併症であり,線維性セプタによる腸の閉塞を引き起こします. 早期診断とNSAIDの停止は,回復と外科手術の回避に不可欠です.
科学分野:
- 胃腸内科 胃腸内科
- 放射線学 放射線学
- 病理学 パトロジー
背景:
- 隔膜疾患は,非ステロイド性抗炎症薬 (NSAID) に関連する腸内疾患の希少な症状です.
- 細い,凝縮した繊維状のセプタが,小腸のルメンを狭め,しばしば遠端のイレウムに含まれる.
- 放射性および薄いセプタ (<2mm) は,しばしば,粘着性小腸閉塞 (SBO) として誤診につながります.
研究 の 目的:
- NSAID誘発性膜疾患による完全なSBOの症例を提示する.
- 診断上の課題と,このエンティティを認識することの重要性を強調する.
- 管理におけるCTエンテログラフィーと外科介入の役割を強調する.
主な方法:
- 長期にわたって高用量イブプロフェンを使用した89歳の男性に関するケースプレゼンテーション.
- 小腸の阻害を特定するためにCTエンテログラフィーを利用した診断イメージング.
- 切除された組織の外科的探査 (ラパロトミー) とその後の組織病理学的検査.
主要な成果:
- コンプリートSBOは,過去に高用量イブプロフェンを使用した患者で診断されました.
- CTエンテログラフィーでは,阻害と一致するディスタル・イレアル・トランジション・ポイントを明らかにした.
- ラパロトミーでは,遠隔性イレウムに3つの環膜膜が特定され,顕微鏡検査でNSAIDに関連する膜疾患であることが確認されました.
結論:
- NSAIDによって誘発された膜疾患は,完全なSBOを引き起こし,誤診されることがあります.
- CTエンテログラフィーは,この状態の診断に価値があります.
- セグメンタル切除とNSAIDの永久停止は,患者の回復につながる効果的な治療法です.
キーワード:
エクスプローラティブ・ラパロトミー (Explorative Laparotomy) とは非ステロイド性抗炎症薬 (nsaid) とは非ステロイド性抗炎症薬 (NSAID) とは小腸膜疾患とは,小腸膜疾患である.小腸腸内症 小腸腸内症小腸切除 小腸切除さらに関連する動画
04:33Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
Published on: November 8, 2024
925
05:57ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection
Published on: February 10, 2017
8.9K
関連する概念動画
01:30Esophageal Strictures-I: Introduction
933
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
933
01:21Inflammatory Bowel Disease V: Surgical Management
728
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
728
01:25Assessment of the Rectum and Anus
1.4K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.4K
01:26Esophageal Strictures-II: Clinical Features and Management
718
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
718
01:30Inflammatory Bowel Disease II: Crohn's Disease
1.3K
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
1.3K
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
785
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
785