一个成年人有不完整的共同介质体:一个病例报告
Dorra Bel Haj Yahia1, Souhaib Atri1, Amine Sebei1
1The Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia; Surgery Department A, RABTA Hospital, Rue Jbel Lakhdar, La Rabta Jebbari 1007, Tunis, Tunisia.
International journal of surgery case reports
|June 15, 2023
概括
这一案例突出了在一个有不完整常见中腔管的成年人中罕见的白内障卷积病例. 早期的手术干预对于这种严重的肠道转化不良并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 一个常见的间腔由异常的胚胎旋转引起,可能导致并发症.
- 便秘卷发症是肠道阻塞的罕见原因 (1-1.5%),很少与肠道恶性转化有关.
研究的目的:
- 报告一种罕见的白内障卷积病例,该病例发生在成人中与不完整的普通介质体一起.
- 为了强调这种罕见的协会的诊断和管理挑战.
主要方法:
- 一名50岁的男性出现了急性肠道阻塞.
- 放射学评估发现了暗示不完整的普通半肠和小肠膨胀的迹象.
- 紧急腹腔切除术证实了白内障卷发与不完整的共同介质体和缺血性变化,需要白内障切除和白内障结肠切除.
主要成果:
- 该患者患有急性肠道阻塞,原因是白内障卷积和不完整的常见骨干.
- 手术发现证实了诊断,患者接受了切除和解剖.
- 在偶发的 inguinal hernia 中没有发现窒息.
结论:
- 不完整的常见间膜炎,虽然在成年人中通常是无症状的,但可能会导致严重的并发症,如volvulus.
- 肠道转变不良和白内障卷积的结合很少见,特别是在成年人中.
- 虽然放射学有助于诊断,但及时的外科干预仍然是治疗的基石.
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