老年妇女的卷:肠道阻塞的一个罕见原因
Tiago Branco1, Leonor Ávila2, Ana Rodrigues1
1General Surgery, Centro Hospitalar do Oeste, Caldas da Rainha, PRT.
Cureus
|March 6, 2024
概括
肠道阻塞是一种罕见的肠道阻塞,呈现出诊断方面的挑战. 迅速的手术干预对于这种危及生命的疾病的良好结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 乳头卷发是一种罕见但危及生命的肠道阻塞的原因.
- 由于症状变化和重叠的差异,诊断往往会延迟.
- 及时识别和手术管理对于患者的生存至关重要.
研究的目的:
- 在老年患者中报告一个头卷积病例.
- 突出诊断挑战和管理策略.
- 为了帮助人们更好地了解 cecal volvulus.
主要方法:
- 一个89岁的女性患有腹痛的病例报告.
- 诊断工作包括普通放射,腹部CT和结肠镜.
- 通过紧急腹腔切除术和右侧半角切除术进行手术管理.
主要成果:
- 图像检测证实了肠道阻塞,怀疑是卷发症.
- 结肠镜检查排除了西格体卷发症,有助于诊断.
- 紧急手术揭示了带有缺血变化的卷;患者康复良好.
结论:
- 诊断卷发症可能是具有挑战性的,需要高度的怀疑指数.
- 多模式成像和内镜评估是关键.
- 及时的手术干预对于管理卷发症和改善结果至关重要.
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