当肠道讲述一个故事时:一个被忽视的自闭症儿童的恶作剧
Saleh A Ba-Shammakh1, Eman A Al-Zughali2, Salwa M Al-Bustanji2
1Department of General Surgery, The Islamic Hospital, Amman, JOR.
Cureus
|October 9, 2023
概括
这项案例研究突出了14岁自闭症女性患有慢性腹和腹痛的罕见三虫 (头发群) 病例. 诊断证实了便损伤和多重腹,需要综合医疗,手术和社会心理护理.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 精神病的并发症 精神病的并发症
- 医学案例研究 医学案例研究
背景情况:
- 贝佐尔,特别是特里科贝佐尔,是一种罕见的胃肠道质量,主要影响患有精神疾病的年轻女性.
- 这起案件涉及一名14岁的自闭症女性,患有慢性腹和腹痛,这些症状可能与潜在的腹形成有关.
- 严重的患者疏忽被确定为本案背景的关键因素.
研究的目的:
- 记录和分析一个独一无二的病例,在一个患有自闭症的青少年中形成贝佐尔.
- 强调诊断挑战和复杂的儿科胃肠道病例所需的多学科管理.
- 突出精神疾病,忽视和毛发育之间的关联.
主要方法:
- 采用了全面的诊断方法,包括详细的病史和体检.
- 腹部和骨盆的计算机断层成像 (CTAP) 用于精确可视化胃肠道.
- 诊断程序确定了便损伤和多个由毛发和非生物材料组成的腹的存在.
主要成果:
- 诊断工作证实存在显著的便冲击.
- 在患者的胃肠道内发现了多种虫,包括三虫和含有非生物物质的虫.
- 这些发现强调了病情的严重性和立即干预的必要性.
结论:
- 这一案例强调了在患有慢性胃肠道症状的儿科患者,特别是患有自闭症和精神伴随性疾病的儿科患者中考虑腹形成的重要性.
- 通过CTAP等先进成像技术进行早期和准确的诊断对于有效的管理至关重要.
- 综合医疗,外科和心理社会干预的整体方法对于最佳的患者结果至关重要,特别是在涉及忽视的病例中.
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