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由大肠结引起的窒息性肠道阻塞:一个罕见的病例报告
Satoko Umetsu1,2, Shigeru Shibata3, Harue Akasaka3
1Department of Gastroenterological Surgery, Hirosaki General Medical Center, 1-Tomino-Cho, Hirosaki, 036-8545, Japan. satomakotoko@gmail.com.
Surgical case reports
|August 8, 2023
概括
伊利奥-伊利奥结,是肠道阻塞的罕见原因,发生在小肠的两个部分结合在一起时. 这一案例突出了它在急性腹痛诊断中的考虑.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 肠结的形成涉及肠道的部分变得结结.
- 关于小肠道内结形成的报道并不频繁.
研究的目的:
- 呈现一种罕见的伊利奥-伊利奥结形成的情况,导致杀性肠道阻塞.
- 强调在肠道阻塞的差异诊断中考虑大肠结的重要性.
主要方法:
- 一名62岁的男性出现腹痛和急性腹部症状.
- 与对比度增强的计算机断层扫描 (CT) 显示了中腔管扭曲和差异填充.
- 紧急腹腔切除术证实了伊利奥-伊利奥结结,随后进行了小肠切除.
主要成果:
- 在手术期间的发现证实了伊利奥-伊利奥结的形成,导致小肠窒息和死.
- 成功释放了结节,并进行了小肠部分切除.
- 患者经历了良好的术后恢复,并在术后第11天出院.
结论:
- 伊利奥 - 伊利奥结是杀性肠道阻塞的罕见但至关重要的原因.
- 这种情况应纳入患者的差异诊断,呈现急性腹部和阻塞的迹象.
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