两个滴的故事:在一个巨大的十二指肠分泌体内穿孔的周周脉分泌体的内镜治疗
Suchapa Arayakarnkul1, Ekin Inal1, Amit Mehta1
1Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD.
ACG case reports journal
|November 6, 2023
概括
一个穿孔的外腹分离器,一种罕见的并发症,通过内镜闭合成功治疗. 这种最少的侵入性方法为复杂的十二指甲穿孔手术提供了一个可行的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 内镜手术 进行内镜手术
背景情况:
- 周边脉冲分流管可以导致严重的并发症,如穿孔,传统上通过手术或保守措施进行管理.
- 这种穿孔与显著的发病率和死亡率有关.
- 十二指管分歧管,尤其是周管分歧管,带来了独特的诊断和治疗挑战.
研究的目的:
- 为了呈现一个自发穿孔的周围脉冲分流器的病例.
- 为了突出成功地使用内镜闭合用于复杂的十二指甲穿孔.
- 强调内镜在处理此类病例中的作用.
主要方法:
- 一个76岁的妇女的病例报告,患有穿孔的周边脉冲分离器.
- 最初的手术管理没有成功.
- 进行了成功的内镜闭合.
主要成果:
- 患者在内镜关闭后完全康复.
- 尽管先前的手术失败,但内镜管理证明是有效的.
- 十二指甲分泌体位于一个更大的十二指甲分泌体内.
结论:
- 内镜闭合可以成为复杂的外脉分泌器穿孔的可行治疗方法.
- 这种方法为手术提供了一个不那么侵入性的替代方案.
- 内镜在处理复杂的十二指肠分泌器问题方面发挥着至关重要的作用.
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