在探索性腹腔切除术期间发现的肺炎囊肠道
Regen K Morgan1, Austin Wynn1, Mary K Hanisee2
1Archbold Department of Surgery, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus
|April 12, 2024
概括
肺炎囊性肠炎 (PCI) 是一种罕见的疾病,导致消化道中充满气体的囊. 意识到它的良性和成像发现可以防止不必要的手术.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 手术病理学手术病理学
背景情况:
- 肺炎囊性肠炎 (PCI) 是一种罕见的疾病,涉及肠壁中含有气体的囊.
- 虽然PCI通常是良性的,但可以呈现出模仿急性腹部紧急情况的症状.
研究的目的:
- 在成像上突出了肺炎囊肠炎 (PCI) 的诊断挑战.
- 强调认识到PCI的良性性质的重要性.
- 倡导早期检测和预防PCI不必要的外科手术.
主要方法:
- 一个患有腹部和背部疼痛的患者的案例介绍.
- 腹部和骨盆的对比增强计算机断层扫描 (CT) 扫描.
- 探索性腹腔切除术用于调查怀疑的肠道穿孔.
主要成果:
- CT扫描最初显示了空气在腹腔内,这表明了潜在的肠道穿孔.
- 探索性腹腔切除术排除了肠道穿孔.
- 通过在小肠的外表面上发现充满空气的囊来确认肺炎囊性肠炎 (PCI) 的诊断.
结论:
- 肺炎囊性肠炎 (PCI) 在成像上可以模仿肠道穿孔,这构成了诊断挑战.
- 增强对比度的腹部CT非常重要,但可能无法最终诊断PCI.
- 提高对PCI典型呈现和良性性质的认识,可以改善检测,避免不必要的手术.
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