コロノスコーピーの48時間後の臓破裂の遅延:症例報告
Parthena Samara1, Sergios Konstantinidis1, Anastasios Katsourakis1
1General Surgery, General Hospital of Thessaloniki "Gennimatas-Agios Dimitrios", Thessaloniki, GRC.
Cureus
|February 19, 2026
まとめ
臓の破裂は,大腸内視鏡検査後の希少だが深刻な合併症である. 医師は,手術後の腹痛と貧血の患者において,臓損傷を疑うべきである.
科学分野:
- 胃腸内科 胃腸内科
- 手術による合併症
背景:
- 臓の破裂は,大腸内視鏡検査後の珍しい,しかし生命を脅かす合併症です.
- 危険因子には,内視鏡検査技術,患者の位置づけ,患者特有の解剖学的または病理学的要因が含まれます.
研究 の 目的:
- コロノスコーピーの後の臓破裂の症例を報告する.
- 手術後の関連する症状を有する患者の差異診断において臓損傷を考慮する重要性を強調する.
主な方法:
- コロノスコーピーの48時間後に,左上四半期に痛み,弱さ,および色を呈した59歳の女性の症例報告.
- 診断作業には,貧血の検査と,血を明らかにするコンピュータトモグラフィー (CT) スキャンを含む.
- 治療には脊髄切除術が必要でした.
主要な成果:
- 患者は,貧血,血液動力学的不安定性,およびCTスキャンで血骨との破裂が確認されました.
- スプレネクトミーが行われ,患者は合併症なしで回復した.
結論:
- 大腸内視鏡検査は貴重な診断ツールですが,医師は貧血と最近の大腸内視鏡検査を受けた患者の臓損傷を疑う高い指数を維持する必要があります.
- 早期発見と管理は,大腸内視鏡検査後の潜在的に生命を脅かすの破裂に不可欠です.
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