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在一个年轻的成年人中呈现出胃肠道出血的输入接的多重体梅克尔的分离器
Christos Konstantakis1, Petros Mantzios1, Christos Sotiropoulos1
1Gastroenterology Department, University General Hospital of Patras, Patras, GRC.
Cureus
|February 6, 2024
概括
一个罕见的成年人胃肠道出血的病例,由一个入肠接收的梅克尔分泌体引起,呈现为多重质体,在最初的非诊断性测试后,通过重复囊内镜诊断. 这突出了诊断挑战和先进成像的价值.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 成年人胃肠道出血可能源于罕见的原因.
- 梅克尔分管是不常见的出血原因,特别是在成年人中.
- 在手术前诊断梅克尔分管,特别是与不寻常的形态,提出了重大挑战.
研究的目的:
- 报告一种极为罕见的,呈现为多重形质群体的 Meckel's 转体被入的病例.
- 为了强调诊断难度在识别不清楚的胃肠道出血来源.
- 讨论囊内镜在诊断罕见小肠病理方面的有用性.
主要方法:
- 一名22岁的女性患者患有复发性血和阳性冲击指数,经历了多次诊断调查.
- 最初的治疗包括内镜检查,无线小肠囊检查,CT血管学检查,99m技术扫描和胆管结肠镜检查.
- 一个重复的无线小肠囊成功地在远端大肠中发现了一个部分的多重质体.
主要成果:
- 初步的检查,包括光学扫描和胆管结肠镜检查,对出血源呈阴性结果.
- 电脑图谱血管学表明,大肠骨中存在外流.
- 手术探索揭示并切除了一个被吸收的梅克尔分离器,由他的病理学证实.
结论:
- 带有多重体质的肠接的梅克尔分泌体是胃肠道出血的极为罕见原因.
- 囊内镜可以在其他方法失败时对诊断罕见的小肠病变至关重要.
- 这一案例强调了在复杂出血病例中考虑罕见诊断和优化诊断策略的重要性,包括重复囊内镜.
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