异形性直肠坏死症的操作管理和结果在一个八代人
Vinila Baljepally1, Mary E McBride2, Lou Smith2
1Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
The American surgeon
|April 3, 2024
概括
异常性急性直肠亡 (IARN) 是罕见的. 一种保守的手术方法,涉及sigmoid和靠近直肠切除与结肠静脉切除,导致成功的患者恢复,避免了广泛的切除.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 外科手术病例报告
背景情况:
- 异常性急性直肠亡 (IARN) 是一种罕见而严重的疾病.
- 它的特点是直肠组织的亡,可能导致穿孔和败血症.
- 之前的管理往往涉及到出现的腹腔骨切除.
研究的目的:
- 报告一种异常性急性直肠亡病例 (IARN).
- 描述IARN的成功保守外科治疗方法.
- 为了突出一种替代的方法,新出现的腹腔骨切除.
主要方法:
- 一个83岁的男性因IARN而患有败血性休克的案例介绍.
- 新兴的探索性腹腔切除术,包括sigmoid和近接直肠切除.
- 创建一个终端sigmoid结肠静止术与延迟的远端直肠评估.
主要成果:
- 患者经历了败血症休克和直肠穿孔.
- 床边检查证实了手术后可行的远端直肠粘膜.
- 没有需要进一步的手术干预;8个月后,结肠直肠术逆转成功.
- 患者恢复了正常的胃肠功能.
结论:
- 保守的手术管理,包括切除和结肠直肠切除,可以对IARN有效.
- 这种方法可能会带来积极的患者结果,并避免更广泛的切除.
- 考虑保守的策略对于未来的IARN病例很重要.
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