由于摄入的骨而产生直肠穿孔,呈现为围腹:一个病例报告
Feras ALsannaa1, Reem Bin Saleem2, Jawaher ALowayyid2
1Trauma and Acute Care Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
Cureus
|January 1, 2024
概括
一个罕见的从摄入的骨中产生的直肠穿孔病例,呈现为近腹. 手术干预成功地排出了,并移除了异物.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 紧急医疗 紧急医疗
背景情况:
- 摄入外体造成的直肠穿孔不常见,难以诊断.
- 周围可能是直肠穿孔的初始表现.
研究的目的:
- 报告一种罕见的由摄入异物引起的直肠穿孔病例.
- 突出诊断挑战和成功管理此类病例.
主要方法:
- 初步评估,包括体检.
- 腹部计算机断层扫描 (CT) 扫描用于诊断.
- 手术探索,切口和的排水,和外体的去除.
主要成果:
- 确定了一个大型的马周腹.
- 在CT扫描上,在门边缘附近观察到一个小的线性高密度.
- 由于摄入的骨而导致的直肠穿孔在手术期间得到证实.
结论:
- 摄入的异物可以导致直肠穿孔,呈现为围腹.
- 使用CT成像即时诊断至关重要.
- 涉及液排水和异物清除的手术管理是有效的.
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