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[肠道阻塞是自发性内壁血瘤的次要原因. 一个案例的报告]
Nicolás Besser P1, Christophe Riquoir A1, Felipe Bellolio R1
1Departamento de Cirugía Digestiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
概括
在接受抗凝剂治疗的患者中,自发性肠内血瘤是肠道阻塞的罕见原因,可以保守地管理. 这一案例突出了成功的非手术治疗导致阻塞的状血瘤的成功.
科学领域:
- 胃肠病学 胃肠病学
- 腹部成像 腹部成像 腹部成像
- 血管外科 血管外科
背景情况:
- 自发性内壁血瘤 (IMH) 是肠道阻塞的一个不常见的原因.
- IMH通常与创伤有关,自发病例很少见,主要观察到接受抗凝药治疗的患者.
研究的目的:
- 在接受抗凝药治疗的患者中报告一种导致肠道阻塞的自发性内血瘤病例.
- 为了说明这种罕见疾病的成功保守管理.
主要方法:
- 一名接受抗凝药治疗的73岁女性出现了肠道阻塞症状.
- 腹部计算机断层扫描 (CT) 揭示了远端阴的细分壁加厚,与IMH一致.
- 发现IMH已经消灭了头膜的光线,导致肠道近端扩张.
主要成果:
- 为患者启动了支持性治疗.
- 患者表现出令人满意的临床演变.
- 患者在入院12天后出院.
结论:
- 自发性室内血瘤是一种罕见但重要的肠道阻塞原因,特别是在服用抗凝血药的人群中.
- 对自发性IMH导致肠道阻塞的保守管理可能是有效的,从而导致有利的结果.
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