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甲状腺功能低下症呈现为非动态的乳腺模仿机械小肠阻塞:一个诊断和管理困境
Kacper Kubiszewski1, Rachel W Chapman1, Yelena Piazza2,3
1Medical School, University of Central Florida College of Medicine, Orlando, USA.
Cureus
|January 19, 2024
概括
严重的甲状腺功能低下症可以模仿小肠阻塞 (SBO),导致胃肠道症状. 用levothyroxine快速治疗改善了运动性,在没有手术的情况下解决了阻塞.
科学领域:
- 内分泌学 在内分泌学.
- 胃肠病学 胃肠病学
背景情况:
- 小肠阻塞 (SBO) 是一个常见的手术紧急情况.
- 甲状腺功能低下症通常与代谢减缓有关,而不是胃肠道阻塞.
研究的目的:
- 报告一种严重的甲状腺功能低下症病例,呈现为小肠阻塞.
- 突出甲状腺功能障碍在胃肠道运动障碍中的潜在作用.
主要方法:
- 一个44岁的男性患有腹痛,恶心和吐的病例报告.
- 诊断工作包括计算机断层扫描 (CT) 扫描.
- 探索性腹腔镜和实验室调查.
主要成果:
- 脑电图扫描显示了小肠便的迹象,暗示SBO.
- 在腹腔镜检查期间没有发现机械阻塞.
- 患者的胃肠道运动性改善了静脉注射利沃西,与提升的TSH水平相关.
结论:
- 严重的甲状腺功能低下症可以呈现出模仿机械小肠阻塞的症状.
- 甲状腺激素替代疗法可以解决这种运动功能障碍.
- 在患有不明原因的SBO症状的患者中,考虑进行甲状腺功能测试.
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