首次报告了外体穿孔的次要小囊的病例
Yat Cheung Chung1, Binura Lekamalage2, Ashray Rajagopalan1
1Department of General Surgery, Monash Health, Melbourne, AUS.
Cureus
|November 29, 2023
概括
本病例报告详细介绍了一种罕见的小囊,由异物穿孔胃引起. 早期识别和管理,包括内镜排水和手术洗,对于这种非典型的呈现至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 较小的囊 empyema 通常呈现阴险和异常.
- 胃外体穿孔是不常见的.
- 没有先前的报告将异物穿孔与较小的囊形成联系起来.
研究的目的:
- 报告第一个较小的囊二次外体穿孔后胃的病例.
- 为了突出较小囊 empyema 的非典型呈现.
- 强调在无法解释的腹膜炎中考虑较小囊的重要性.
主要方法:
- 一名48岁的女性出现了腹膜上部疼痛和腹膜炎的迹象.
- 计算机断层扫描 (CT) 扫描发现胃壁后部有异物穿孔.
- 治疗包括内镜排水和手术腹部洗.
主要成果:
- 一个外体导致胃后壁穿孔,导致较小的囊.
- 通过结合内镜和外科手术的方法成功管理了患者的病情.
- CT成像对于诊断穿孔和相关收集至关重要.
结论:
- 由于异物穿孔而引起的小囊是罕见但危急的疾病.
- 非典型的呈现需要彻底的调查,包括检查较小的袋子.
- 多模式管理,包括内镜和手术干预,可以是有效的.
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