在成年人身上偶然发现Bochdalek:一个案例报告
Rosario Francesco Balzano1, Giacomo Fascia2, Alessio Sciacqua3
1Radiology Unit, Barletta University Hospital, Italy. ro.balzano@gmail.com.
Acta bio-medica : Atenei Parmensis
|October 18, 2023
概括
一个罕见的,沉默的Bochdalek (先天性隔膜) 偶然发现在一个56岁的男性在CT扫描以检测直肠出血. 这一案例突出了对这种婴儿疾病的晚年诊断的可能性.
科学领域:
- 医疗成像医学成像
- 手术病理学手术病理学
- 儿科手术 儿科手术
背景情况:
- 博赫达勒克,或先天性隔膜 (CDH),是一种出生缺陷,隔膜有一个开口,允许腹部器官进入胸部.
- CDH通常影响婴儿,经常出现严重的呼吸困难.
- 成年人未被诊断的CDH非常罕见,大多数病例是在幼儿时期发现的.
研究的目的:
- 报告一个罕见的Bochdalek的病例,在成年患者中偶然诊断出.
- 为了强调一种沉默的,长期未被诊断的先天性腹膜的可能性.
- 讨论成人成像中偶然发现的诊断方法和影响.
主要方法:
- 一名56岁的男性患者出现了直肠出血.
- 用对比度增强的计算机断层扫描 (CT) 扫描进行,以调查直肠出血.
- 在CT扫描期间,偶然诊断出Bochdalek.
主要成果:
- 在一个56岁的男性身上偶然发现了Bochdalek.
- 患者的呈现症状是直肠出血,与腹膜无关.
- 这代表了一种罕见的沉默的Bochdalek的例子,持续超过五十年.
结论:
- kongenital diaphragmatic hernias可能会在成年后仍然没有被诊断出来.
- 医学成像中的偶然发现,如CT扫描,可以揭示罕见的疾病.
- 这一案例强调了考虑先天性异常的重要性,即使在成年患者中出现看似无关的症状也是如此.
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