腹膜包含胃 - - 一种罕见的并发症
Chris Bodimeade1, Rebekka Troller2
1East Surrey Hospital, Redhill, UK.
Journal of surgical case reports
|June 21, 2023
概括
一个半体导致一个老年妇女的胃阻塞,导致恶心和吐. 通过液体复苏和鼻胃解压的快速治疗解决了阻塞,允许排出.
科学领域:
- 胃肠病学 胃肠病学
- 手术病例报告 手术病例报告
背景情况:
- 偏肠是经过结肠直肠切除术后的一个已知的并发症.
- 恶心,吐和腹部疼痛的反复出现的症状可能表明,在有腹部手术和的病史的患者中,肠道阻塞.
研究的目的:
- 报告一个胃出口阻塞的情况,这是对半腹的次要原因.
- 为突出这一罕见并发症的诊断和管理方法.
主要方法:
- 一位70岁的女性的临床表现审查,她有哈特曼手术和结肠直肠术的病史.
- 使用CT腹部骨盆诊断成像来确定阻塞的原因.
- 保守的管理包括液体复苏,止痛,抗药和鼻胃减压.
主要成果:
- 扫描显示了半腹内胃的很大一部分,导致胃出口阻塞.
- 保守管理成功地缓解了阻塞,24小时内吸入了2600毫升的液体.
- 患者的症状消失了,正常的口腔输出恢复了.
结论:
- 腹膜可以导致胃出口阻塞,呈现与其他腹部病理类似的症状.
- 通过CT成像进行早期诊断和包括鼻胃减压在内的及时保守管理对于成功的结果至关重要.
- 这一案例强调了在有史以来骨和复发性胃肠道症状的患者中考虑半体并发症的重要性.
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