胃口管切除后肺上皮管的发生率
Anas Mahmoud1, Nizar Alyassin1, Eyad Baghal2
1Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA.
Cureus
|November 29, 2023
概括
一名88岁的老人经过胃管切除后患上了肺肠. 这种情况在没有干预的情况下自发地在四个月内消失,突出显示了一种罕见的非手术结果.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是指放射学
- 一般外科 整体外科
背景情况:
- 肺,腹腔中空气的存在,可以由各种原因引起,包括胃肠道穿孔.
- 胃口管在患有胃肠道问题的患者中很常见,并且它们的移除偶尔会导致并发症.
- 肺瘤的临床表现是高度可变的,从无症状到危急的疾病.
研究的目的:
- 在胃口管切除后报告一种自发性肺膜瘤的独特病例.
- 讨论诊断的挑战和管理的偶发性肺.
- 突出保守管理和在特定情况下自发解决的可能性.
主要方法:
- 一个88岁的男性病例介绍,他有大肠炎和结肠狭窄病史.
- 诊断工作包括食管胃管腺镜 (EGD) 和计算机断层扫描 (CT) 影像.
- 连续CT扫描被用于监测四个月的肺上皮膜的解决方案.
主要成果:
- 患者呈现出血,并被发现患有下消化道.
- 电脑图像扫描揭示了偶然的肺膜和胃穿孔在胃口管切除部位附近.
- 在四个月的保守管理和连续CT监测后,肺膜完全消失了.
结论:
- 自发性肺膜炎可能发生在胃口管切除后,并且可能在不进行手术的情况下消失.
- 保守的管理与密切监测可能是一个可行的选择,选择患者无症状或最小症状的肺上皮膜.
- 这一案例凸显了在肺上皮管管理中考虑阳性原因和非手术结果的重要性.
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