一例腹腔镜尾切除术是因为尾出血
Takuya Nakashima1, Bun Sano2, Aiko Ikawa2
1Department of Surgery, Takayama Red Cross Hospital, 3-11 Tenman-cho, Takayama-shi, Gifu, 506-8550, Japan. takuya.n1116@gmail.com.
Surgical case reports
|October 16, 2023
概括
罕见的尾出血,是胃肠道下部出血的原因,在内镜方法失败时,通过腹腔镜尾切除术成功治疗. 在这种情况下,建议立即进行手术干预.
科学领域:
- 胃肠病学 胃肠病学
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 尾出血是下胃肠道出血的不常见原因,约占病例的0.4%.
- 由于这种情况的罕见性和位置,这种情况带来了诊断和治疗方面的挑战.
研究的目的:
- 报告一个成功的腹腔镜尾切除术的病例,用于管理严重的尾出血.
- 为了突出外科手术干预的有效性,当内镜血静失败时.
主要方法:
- 一名71岁的男性出现了显著的贫血和鲜血的便.
- 下部胃肠道内镜显示,尾孔有活跃的出血,对内镜剪切无反应.
- 进行了紧急腹腔镜尾切除术.
主要成果:
- 腹腔镜尾切除术在技术上是成功的,术后恢复良好.
- 患者在术后的第三天出院.
- 病理学表明尾分歧出血是可能的来源,尽管无法确定确切的鉴定.
结论:
- 尾出血的内镜治疗可能具有挑战性,并且往往是无效的.
- 在患有持续或严重尾出血的患者中,应立即考虑尾切除术.
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