子宫内膜瘤在处女的腹部引起重复的小肠阻塞 - - 一个病例报告和文献综述
Tricia Chiu1, Nithya Niranjan1, Kate FitzGerald1
1Department of Surgery, Wagga Wagga Base Hospital, Docker St Wagga Wagga, NSW 2650, Australia.
Journal of surgical case reports
|July 7, 2023
概括
子宫内膜异位症可能导致罕见的肠道阻塞,即使没有先前的手术. 通过腹腔镜早期诊断是有效治疗和减轻受影响妇女症状的关键.
科学领域:
- 胃肠病学 胃肠病学
- 妇科外科手术 妇科外科
- 手术病理学手术病理学
背景情况:
- 对子宫内膜异位症的次要肠道阻塞很少报告.
- 由于子宫内膜异位症引起的肠道阻塞的延迟诊断可能会导致患者的显著发病率.
- 这一案例突出了患有反复出现小肠阻塞并没有手术史的患者的诊断挑战.
研究的目的:
- 报告一个由子宫内膜异位症引起的小肠阻塞病例,患者的腹部处女.
- 强调在肠道阻塞的差异诊断中考虑子宫内膜异位症的重要性.
- 为了说明选择性腹腔镜的诊断和治疗效用.
主要方法:
- 一个45岁女性的案例研究,患有反复出现的小肠阻塞.
- 诊断工作包括计算机断层扫描和磁共振肠道学.
- 通过选择性腹腔镜检查和随后的组织病理学检查实现了最终的诊断和治疗.
主要成果:
- 最初的调查表明克罗恩氏病或梅克尔分泌体.
- 选择性腹腔镜检查显示了小肠组织的痕.
- 组织病理学证实该质量是子宫内膜异位症,切除后症状完全消失.
结论:
- 在对女性小肠道阻塞的差异诊断中应考虑子宫内膜异位症,特别是那些没有先前腹部手术的女性.
- 及时选择性腹腔镜是诊断和治疗这种病例的安全有效方法,可能避免紧急手术.
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