肠道中的一个直角棘:一个奇怪的小肠穿孔病例
Debajyoti Mohanty1, Dharmendra Dugar1, Asish Waliya1
1General Surgery, All India Institute of Medical Sciences, Raipur, Raipur, IND.
Cureus
|September 26, 2023
概括
一名男子因摄入阿拉伯植物棘而经历了小肠穿孔. 紧急手术成功切除了刺并修复了穿孔,突出了诊断外体摄入的挑战.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 植物引起的创伤
背景情况:
- 小肠穿孔是一个关键的手术紧急情况.
- 摄入异物,特别是辐射发光的植物物质,可能导致肠道穿孔.
- 准确的手术前诊断往往具有挑战性,因为患者病史不可靠,成像技术有限.
研究的目的:
- 报告一种罕见的小肠穿孔病例,原因是无意中摄入了Vachellia nilotica (阿拉伯) 棘.
- 讨论外体诱导肠道穿孔的诊断挑战和管理策略.
- 强调这种伤害的首选手术方法.
主要方法:
- 一个45岁男性的病例介绍,怀疑患有肠周周炎.
- 紧急腹腔切除术用于诊断和手术干预.
- 在手术期间识别和从末端骨髓中移除Vachellia nilotica棘.
- 使用可吸收的 sutures. 使用可吸收的 sutures. 使用可吸收的 sutures. 使用可吸收的 sutures.
主要成果:
- 来自Gum Arabic植物的一根直角棘被确定为终端膜穿孔的原因.
- 患者成功地进行了穿孔的初级修复.
- 这项研究强调了放射学检查对于检测植物性异物体的低灵敏度.
结论:
- 在小肠穿孔的情况下,即使没有明确的病史,也应该考虑食用外来物体,特别是来自植物材料.
- 初级修复是外体诱导小肠穿孔的可行和首选的手术选择.
- 提高诊断意识和手术技术对于管理这些不常见的表现至关重要.
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